Individual
DARRYL ROBERT ZITZOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
40520 CO HWY 34, WHITE EARTH HEALTH CENTER, OGEMA, MN 56569
(218) 983-4300
(218) 983-6217
Mailing address
29353 NO SUGARBUSH ROAD, OGEMA, MN 56569
(218) 983-3299
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP4562
MN
104100000X
Social Worker
Primary
7173
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03T99ZI
BCBS
MN
01
—
585241045032
PREFERRED ONE
MN
01
—
6157953
MEDICA
MN
Enumeration date
07/19/2006
Last updated
09/11/2025
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