Individual
JASON ZELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 E JOLLY RD, LANSING, MI 48910-6649
(517) 882-2732
Mailing address
1004 4 MILE RD NW APT 1A, GRAND RAPIDS, MI 49544-1560
(616) 719-9277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302416935
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/05/2024
Last updated
11/02/2024
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