Individual
DR. COLIN MATTHEW ZDENEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-7101
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-4222
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
972
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006502
PA
Other
Enumeration date
06/30/2013
Last updated
07/21/2022
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