Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Zachary Dylan Blackstun

Individual provider Anesthesiology Physician · NPI 1245891175

Zachary Dylan Blackstun is an Anesthesiology in Plymouth, Minnesota. Graduated from Creighton University School of Medicine in 2019, 7 years ago. Practices with Metropolitan Anesthesia Network LLP, a 519-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Trained at
Creighton University School of Medicine
Licensed in
MN
In the registry since
2019
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Practice location Address checks out

14700 28th Ave N Ste 20
Plymouth, MN 55447-4876
Phone: (763) 559-7779
Fax: (763) 450-3986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 73539 (MN)

Record details

NPI number1245891175
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 21, 2019
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Metropolitan Anesthesia Network Llp — 519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plymouth