Individual
MR. SID ZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
801 BROADWAY AVE NW, SUITE 203, GRAND RAPIDS, MI 49504-4462
(855) 776-9436
Mailing address
801 N BROADWAY AVE NW, SUITE 203, GRAND RAPIDS, MI 49504
(885) 776-9436
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
246000217
IL
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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