Male or Other

Thomas M. Ziebarth M.D.

Family Medicine Physician in Lake City, MN(View on Map)

Full Name

Thomas Matthew Ziebarth M.D.

NPI Number

1851377923

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/20/2005

Specialties

(Taxonomies)

Code

207Q00000X
208D00000X

Primary Taxonomy

Yes
No

Licenses

State

Minnesota

License Number

37579

Contact
Information

Purpose

Mailing
Location

Address

507 W DOUGHTY ST
507 W DOUGHTY ST

City

Lake City
Lake City

State

MN
MN

Postal Code

55041-1500
55041-1500

Country

US
US

Telephone Number

(651) 345-2350
(651) 345-2350

Identifiers

Identifier

456723400

Identifier State

MN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/18/2016

Provider Address

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Specialty: Family Medicine Physician (Primary)

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Specialty: Family Medicine Physician (Primary)

Female

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Specialty: Family Medicine Physician (Primary)