Individual
DR. SIDNEY JOHN ZUZELSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
762 W MICHIGAN AVE, JACKSON, MI 49201-1978
(517) 782-8353
Mailing address
762 W MICHIGAN AVE, JACKSON, MI 49201-1978
(517) 782-8353
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002614
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-C8-6513
MEDICARE
MI
05
—
1558826
—
MI
Enumeration date
04/27/2008
Last updated
04/27/2008
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