Individual
MR. MICHAEL ANTHONY ZEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 284-3134
Mailing address
16870 CRICKET CT, GRAND HAVEN, MI 49417-9693
(616) 502-4608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704216502
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704216502
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346340924
MEDICARE
MI
05
—
1346340924
—
MI
Enumeration date
09/24/2006
Last updated
08/29/2012
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