Provider Demographics
NPI:1548264344
Name:ZOSCHKE, DAVID CHARLES (MD, PHD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:CHARLES
Last Name:ZOSCHKE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7250 FRANCE AVE S
Mailing Address - Street 2:STE 215
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4312
Mailing Address - Country:US
Mailing Address - Phone:952-893-1959
Mailing Address - Fax:952-893-1954
Practice Address - Street 1:7250 FRANCE AVE S
Practice Address - Street 2:STE 215
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4312
Practice Address - Country:US
Practice Address - Phone:952-893-1959
Practice Address - Fax:952-893-1954
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN25216207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology