Individual
DR. MELINDA MARIE-RUSSELL ZETTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
648 PROGRESS ST, SUITE 201, WEST BRANCH, MI 48661-8602
(989) 345-2221
(989) 345-2340
Mailing address
648 PROGRESS ST. P.O. BOX 399, SUITE 201, WEST BRANCH, MI 48661
(989) 345-2221
(989) 345-2340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015884
MI
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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