Individual
SAMUEL GORDON ZEPIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS CCC-SLP
Contact information
Practice address
3740 VISTA SPRINGS AVE NE, GRAND RAPIDS, MI 49525-2463
(616) 566-8520
Mailing address
3555 RIVER CT, HAMILTON, MI 49419-9702
(616) 566-8520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006625
MI
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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