Provider Demographics
NPI:1336290709
Name:ZELENT, MARK E (DPM)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:E
Last Name:ZELENT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2805 CAMPUS DR
Mailing Address - Street 2:SUITE #345
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-2676
Mailing Address - Country:US
Mailing Address - Phone:763-520-2980
Mailing Address - Fax:
Practice Address - Street 1:2805 CAMPUS DR
Practice Address - Street 2:SUITE #345
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-2676
Practice Address - Country:US
Practice Address - Phone:763-520-2980
Practice Address - Fax:763-520-2991
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNMN-744213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery