Individual
LAURA J ZUIDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 MICHIGAN ST NE, SUITE 5200, GRAND RAPIDS, MI 49503-2515
(616) 391-3681
(616) 391-8670
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
4301041824
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558407189
GROUP NPI
MI
01
—
160D162280
BCBS GROUP
MI
01
—
1922090554
GROUP NPI
MI
05
—
1982467
—
MI
Enumeration date
04/05/2006
Last updated
12/05/2012
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