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Individual

JOEL ZEMBLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAA

Contact information

Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 364-4200
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
157-17
WI
367H00000X
Anesthesiologist Assistant
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100097230
WI
Enumeration date
01/27/2020
Last updated
07/03/2024
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