Individual
JONATHON ZINKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5454 HOHMAN AVE, HAMMOND, IN 46320-1931
(219) 932-2300
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02006024A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2016
Last updated
07/08/2020
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