Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2352 | MN |
NPI | 1003821851 |
---|---|
Provider Name | Dr. Paul J Zilka |
First Address | Richfield, MN 55423 |
Second Address | Richfield, MN 55423-2315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 08/07/2007 |