Individual
DR. DONALD MICHAEL ZIESKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
17 ASH ST NE, NEW LONDON, MN 56273-9567
(320) 354-4793
(320) 354-4793
Mailing address
PO BOX 241, NEW LONDON, MN 56273-0241
(320) 354-4793
(320) 354-4585
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1477
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44-40376
MEDICA
MN
01
—
45999ZI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
08/29/2005
Last updated
07/08/2007
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