Individual
QIWEN ZHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2250 NW 26TH ST, OWATONNA, MN 55060-5503
(865) 342-8900
Mailing address
3455 OLD BRAINARD RD, CLEVELAND, OH 44122-4205
(216) 849-6678
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35082626
OH
207L00000X
Anesthesiology Physician
Primary
64900
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000283834
ANTHEM
—
05
—
2408433
—
OH
01
—
P00028613
MEDICARE RAILROAD
—
Enumeration date
06/07/2006
Last updated
04/30/2019
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