Individual
FEDERICO ZANNINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1214 CHARLESTON CT, NORTHVILLE, MI 48167-3308
(313) 269-3733
Mailing address
1214 CHARLESTON CT, NORTHVILLE, MI 48167-3308
(313) 269-3733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006205
MI
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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