Darryl Robert Zitzow PHD

NPI 1073532230 - Psychologist - 103T00000X

NPI Details
NPI 1073532230
Gender Male
Enumeration Date 07/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
40520 CO HWY 34
WHITE EARTH HEALTH CENTER
OGEMA MN, 56569, US
Phone (218) 983-4300
Fax (218) 983-6217
Business Location
29353 NO SUGARBUSH ROAD
OGEMA MN, 56569, US
Phone (218) 983-3299
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Minnesota
License Number LP4562
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According to our database, Darryl Robert Zitzow PHD NPI is 1073532230, taxonomy code is 103T00000X and license number is LP4562, license state is located at Minnesota. Darryl Robert Zitzow PHD physically located at 40520 Co Hwy 34, Ogema MN, 56569. NPI Number Darryl Robert Zitzow PHD has the Individual type.

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1073532230 NPI number is provided on an as is basis without warranty of any kind. 1073532230 is maintained by the National Plan & Provider Enumeration System. The contents of Darryl Robert Zitzow PHD are for informational purposes only.