Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 48233 | MN |
NPI | 1023178746 |
---|---|
Provider Name | Rebecca J Zadroga |
First Address | Minneapolis, MN 55415-1623 |
Second Address | Minneapolis, MN 55416-4344 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 10/11/2020 |