Individual
ANDREW ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2014 S 6TH ST, BRAINERD, MN 56401-4529
(218) 829-7812
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
69019
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
68368
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
11/12/2020
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