Organization
MUSKEGON SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN N ZONCA MD (PLASTIC SURGERY)
(231) 739-9461
Entity
Organization
Contact information
Practice address
1316 MERCY DR, MUSKEGON, MI 49444-1835
(231) 739-9461
(231) 733-8131
Mailing address
1316 MERCY DR, MUSKEGON, MI 49444-1835
(231) 739-9461
(231) 733-8131
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
225XH1200X
Hand Occupational Therapist
5201006378
MI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE6022
MEDICARE RR
—
Enumeration date
11/15/2006
Last updated
04/20/2017
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