Provider Demographics
NPI:1558334094
Name:ZANDER, JANET A (MD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:A
Last Name:ZANDER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8100 34TH AVE S
Mailing Address - Street 2:21110Q
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1672
Mailing Address - Country:US
Mailing Address - Phone:651-254-9426
Mailing Address - Fax:952-883-5395
Practice Address - Street 1:640 JACKSON ST
Practice Address - Street 2:MAIL STOP 11303A
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2502
Practice Address - Country:US
Practice Address - Phone:651-254-9426
Practice Address - Fax:651-228-8362
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2017-05-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN233812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN285700600Medicaid
MN285700600Medicaid
MN260001449Medicare ID - Type Unspecified