Ziesemer, Gerald E.

Ziesemer, Gerald E. is an individual health care provider with primary practice located at 126 E Alcott Ave , Fergus Falls MN 56537-2903. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ziesemer, Gerald E. can be contacted via phone (218) 736-6987.

Contact Information

Primary practice address
126 E Alcott Ave Fergus Falls MN 56537-2903
Phone: (218) 736-6987
Fax: (218) 736-0734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP0697 Minnesota
Behavioral Health & Social Service Providers / Forensic 103TF0200X LP0697 Minnesota

Profile Details

NPI number 1720021751
LBN Legal business name Ziesemer, Gerald E.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720021751 NPPES
Minnesota Other 59198ZI BLUE SHIELD OF MINNESOTA
Minnesota Other HP48651 BLUE SHIELD OF MINNESOTA
Minnesota Other 104276 BLUE SHIELD OF MINNESOTA
Minnesota Other 1042327 BLUE SHIELD OF MINNESOTA

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