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Individual

DR. TERESA A ZWOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
475 MARKET PL, BUILDING 1, SUITE A, ANN ARBOR, MI 48108-1649
(734) 998-8119
(734) 998-8122
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000319
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1601000319
STATE OF MICHIGAN AUDIOLOGY LICENSE
MI
Enumeration date
09/10/2008
Last updated
12/18/2013
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