Individual
MRS. JAMIE LYNN ZUCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2698
(313) 916-2687
Mailing address
16001 W 9 MILE RD # 3, SOUTHFIELD, MI 48075-4818
(248) 849-2600
(248) 849-2610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003870
MI
363AM0700X
Medical Physician Assistant
5601003870
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601003870
LICENSE
MI
Enumeration date
04/02/2009
Last updated
12/16/2025
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