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Individual

ANDREW LOUIS ZUMBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, NP-C

Contact information

Practice address
255 SMITH AVE N, SUITE 100, SAINT PAUL, MN 55102-2572
(651) 241-5000
(651) 241-7678
Mailing address
255 SMITH AVE N, SUITE 100, SAINT PAUL, MN 55102-2572
(651) 241-5000
(651) 241-7678

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 12970-6
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R 129701-6
NURSING LIC.
MN
Enumeration date
08/02/2010
Last updated
08/02/2010
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