Doctor Name: | MARY ZYGMUNT |
NPI Number: | 1104886407 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 38591 |
Business Practice Address: | 500 Osborne Rd Ne Fridley, MN - 554322765 |
Business Phone Number: | 7637866011 |
Business Fax Number: | |
Mailing Address: | 2925 Chicago Ave, MINNEAPOLIS |
State: | MN |
Postal Code: | 554071321 |
Phone Number: | 6122625000 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2006 |
NPI Last Update Date: | 10/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 38591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |