| Darryl Robert Zitzow, PHD | |
|
40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | |
| (218) 983-4300 | |
| (218) 983-6217 |
| Full Name | Darryl Robert Zitzow |
|---|---|
| Gender | Male |
| Speciality | Social Worker |
| Location | 40520 Co Hwy 34, Ogema, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073532230 | NPI | - | NPPES |
| 6157953 | Other | MN | MEDICA |
| 03T99ZI | Other | MN | BCBS |
| 585241045032 | Other | MN | PREFERRED ONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP4562 (Minnesota) | Secondary |
| 104100000X | Social Worker | 7173 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Darryl Robert Zitzow, PHD 29353 No Sugarbush Road, Ogema, MN 56569 Ph: (218) 983-3299 | Darryl Robert Zitzow, PHD 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 Ph: (218) 983-4300 |
Doreen Lorraine Holding Eagle, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40520 County Highway 34, Ogema, MN 56569 Phone: 218-983-4300 Fax: 218-983-6336 |