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Organization

SIDNEY J. ZUZELSKI OD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIDNEY JOHN ZUZELSKI OD (PRESIDENT)
(517) 782-8353
Entity
Organization

Contact information

Practice address
762 W MICHIGAN AVE, JACKSON, MI 49201-1978
(517) 782-8353
(517) 787-9410
Mailing address
762 W MICHIGAN AVE, JACKSON, MI 49201-1978
(517) 782-8353
(517) 787-9410

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002614
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558826
MI
Enumeration date
02/18/2007
Last updated
10/04/2007
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