Provider Demographics
NPI:1467588624
Name:ZANDER, DANIEL AARON (MS-CCC-A)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:AARON
Last Name:ZANDER
Suffix:
Gender:M
Credentials:MS-CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10916 GREENBRIER RD
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-3474
Mailing Address - Country:US
Mailing Address - Phone:952-541-1799
Mailing Address - Fax:952-541-5451
Practice Address - Street 1:10916 GREENBRIER RD
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-3474
Practice Address - Country:US
Practice Address - Phone:952-541-1799
Practice Address - Fax:952-541-5451
Is Sole Proprietor?:No
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7314231H00000X, 231HA2400X, 237600000X
WI430156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter