Individual
JUAN CARLOS ZEBALLOS CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SAINT JOHNS BLVD, SUITE 201, MAPLEWOOD, MN 55109-1183
(651) 471-1166
Mailing address
1600 SAINT JOHNS BLVD, SUITE 201, MAPLEWOOD, MN 55109-1183
(651) 471-1166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49407-020
WI
207RP1001X
Pulmonary Disease Physician
Primary
57358
MN
Other
Enumeration date
11/16/2006
Last updated
06/14/2016
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