Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TODD LAVERNE KANZENBACH, M.D.
ActiveDR. TODD LAVERNE KANZENBACH, M.D. is a Sports Medicine healthcare provider located in MANKATO, Minnesota. NPI 1124016597 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · MANKATO, MN
Registration Details
- NPI Number
- 1124016597
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2005 (20.797207541145 yrs)
- Last Updated
- Jan 20, 2022
- License
-
38627 (MN)
Practice Information
- Address
-
21 CARKOSKI COMMONSMINNESOTA STATE UNIVERSITY, MANKATOMANKATO, MN, 560016030Browse MN providers · Browse ZIP 56001
- Phone
- 5073896276
- Fax
- 5073895787
- Primary Specialty
-
Sports Medicine
207QS0010X
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.