Individual
PATRICK MICHAEL ZIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2144 E PARIS AVE SE STE 240, GRAND RAPIDS, MI 49546-6117
(616) 949-8945
(616) 949-1115
Mailing address
2144 E PARIS AVE SE STE 240, GRAND RAPIDS, MI 49546-6117
(616) 949-8945
(616) 949-1115
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301078370
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME95457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5207023
—
MI
Enumeration date
07/30/2006
Last updated
06/12/2023
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