Individual
KERRY ZAJICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
Mailing address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1215290143
MN
208600000X
Surgery Physician
R-9536
IA
Other
Enumeration date
06/15/2012
Last updated
07/21/2022
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