Individual
DR. KIMBERLY ANNETTE ZIETLOW
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
HWY 1, RED LAKE, MN 56671
(218) 679-3912
(218) 679-0189
Mailing address
56482 169TH AVE, GONVICK, MN 56644-4243
(218) 679-3912
(218) 679-0189
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
10301
NE
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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