Provider Demographics
NPI:1437172699
Name:ZIEGLER, RICHARD SETH (PHD, MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SETH
Last Name:ZIEGLER
Suffix:
Gender:M
Credentials:PHD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - Street 2:420 DELAWARE STREET SE, MMC 486
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-625-7466
Mailing Address - Fax:612-624-7681
Practice Address - Street 1:420 DELAWARE ST SE # MMC486
Practice Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0341
Practice Address - Country:US
Practice Address - Phone:612-625-7466
Practice Address - Fax:612-624-7681
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP3163103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN20G52ZIOtherBCBS
MN595823OtherARAZ
MN109250OtherUCARE
MN533727500Medicaid
MN61-81045OtherUBH
MN1016467OtherPREFERRED ONE
MNHP28936OtherHEALTHPARTNERS
MT0491912Medicaid