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Individual

DR. ZACHARY J BEATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455
(612) 672-7422
Mailing address
504 W FRANKLIN AVE, 3A, MINNEAPOLIS, MN 55405-3129
(612) 281-5472

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
63445
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/18/2013
Last updated
07/03/2018
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