Individual
LARRY A. ZIESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 871-1144
(612) 871-2012
Mailing address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 871-1144
(612) 871-2012
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
37062
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000010
MEDICA PRIMARY
MN
01
—
1000133
MEDICA CHOICE
MN
01
—
1016754
PREFERREDONE
MN
01
—
32466700
MEDICAID - WISCONSIN
WI
05
—
639817100
—
MN
01
—
768882
AMERICA'S PPO
MN
01
—
76D32ZI
BLUE SHIELD
MN
Enumeration date
08/11/2005
Last updated
05/29/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us