Provider Demographics
NPI:1164452488
Name:ZORAWSKA, MARIA RENATA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:RENATA
Last Name:ZORAWSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-2708
Mailing Address - Country:US
Mailing Address - Phone:320-763-8888
Mailing Address - Fax:320-763-8898
Practice Address - Street 1:1600 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-2708
Practice Address - Country:US
Practice Address - Phone:320-763-8888
Practice Address - Fax:320-763-8898
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN30784208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA94902Medicare UPIN