Individual
GERALD E. ZIESEMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
126 E ALCOTT AVE, FERGUS FALLS, MN 56537-2903
(218) 736-6987
(218) 736-0734
Mailing address
934 W LINDEN ST, FERGUS FALLS, MN 56537-1048
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP0697
MN
103TF0200X
Forensic Psychologist
Primary
LP0697
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042327
PREFERREDONE
MN
01
—
104276
UCARE MINNESOTA
MN
01
—
59198ZI
BLUE SHIELD OF MINNESOTA
MN
01
—
HP48651
HEALTHPARTNERS
MN
Enumeration date
06/14/2006
Last updated
09/11/2025
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