Individual
THOMAS MATTHEW ZIEBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 W DOUGHTY ST, LAKE CITY, MN 55041-1500
(651) 345-2350
(651) 345-2238
Mailing address
507 W DOUGHTY ST, LAKE CITY, MN 55041-1500
(651) 345-2350
(651) 345-2238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37579
MN
208D00000X
General Practice Physician
37579
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
456723400
—
MN
Enumeration date
12/20/2005
Last updated
08/18/2016
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