Provider Demographics
NPI:1649248162
Name:ZABEL, ROBERT JAMES (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JAMES
Last Name:ZABEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20520 KEOKUK AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-6002
Mailing Address - Country:US
Mailing Address - Phone:952-469-5033
Mailing Address - Fax:952-469-5069
Practice Address - Street 1:20520 KEOKUK AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-6002
Practice Address - Country:US
Practice Address - Phone:952-469-5033
Practice Address - Fax:952-469-5069
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN46910207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNH82797Medicare UPIN