Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 036143716 | IL |
NPI | 1134486400 |
---|---|
Provider Name | Anne Marie Zeller |
First Address | Pittsburgh, PA 15203-2307 |
Second Address | Pittsburgh, PA 15203-2307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2012 |
Last Update Date | 24/05/2021 |