Individual
DR. TYLER ZINNECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 751-9746
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1074
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
1161-25
WI
Other
Enumeration date
06/22/2016
Last updated
02/16/2021
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