Basic Information
Provider Information
NPI: 1730341751
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PLOTZ
FirstName: ZACHARY
MiddleName: JOHN
NamePrefix: DR.
NameSuffix:  
Credential: ND
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7505 METRO BLVD STE 400
Address2:  
City: EDINA
State: MN
PostalCode: 554393010
CountryCode: US
TelephoneNumber: 6125732200
FaxNumber: 6125732274
Practice Location
Address1: 7505 METRO BLVD STE 400
Address2:  
City: EDINA
State: MN
PostalCode: 55439
CountryCode: US
TelephoneNumber: 6125732200
FaxNumber: 6125732274
Other Information
ProviderEnumerationDate: 07/01/2008
LastUpdateDate: 09/06/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X69930GAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


Home