Individual
MR. JACOB ALAN ZINKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
29776 FARMBROOK VILLA LN, SOUTHFIELD, MI 48034-1066
(734) 645-5161
Mailing address
29776 FARMBROOK VILLA LN, SOUTHFIELD, MI 48034-1066
(734) 645-5161
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12120731
MI
Other
Enumeration date
05/16/2007
Last updated
08/17/2015
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