Individual
NORMAN DALE ZELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
301 FISHER ST # 81MDOS, BILOXI, MS 39534-2508
(229) 376-0500
Mailing address
301 FISHER ST # 81MDOS, BILOXI, MS 39534-2508
(229) 376-0500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00732
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012437
HEALTH ADVANTAGE (PPO)
—
01
—
140289
GREAT LAKES HEALTH PLAN
—
01
—
247
COMMUNITY CHOICE OF MICHI
—
01
—
2832651
MOLINA HEALTH CARE OF MI
—
01
—
P00015668
RAILROAD MEDICARE
—
Enumeration date
11/02/2005
Last updated
12/05/2023
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