Individual
LYDIA ZIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13745 19 MILE RD, STERLING HEIGHTS, MI 48313-2703
(586) 247-1178
Mailing address
38819 CHELDON ST, CLINTON TWP, MI 48038-3134
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001031
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
670H222910
BCBS
MI
Enumeration date
07/26/2006
Last updated
12/12/2007
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