DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREGORY D ZIKE SR., PA

Active Sole Proprietor

GREGORY D ZIKE SR., PA is a Physician Assistant healthcare provider located in EDEN PRAIRIE, Minnesota. NPI 1013167956 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · EDEN PRAIRIE, MN

Registration Details

NPI Number
1013167956
Provider Type
Individual
Gender
Male
NPI Issued
Sep 29, 2008 (17.863885771433 yrs)
Last Updated
Jul 31, 2013
Licenses
0134 (SD)
1588 (IA)
Sole Proprietor
Yes

Practice Information

Address
8966 GOULD RD
EDEN PRAIRIE, MN, 553473326
Browse MN providers · Browse ZIP 55347
Phone
6056105648
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in EDEN PRAIRIE, MN

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.