Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 01034266A | IN |
NPI | 1689654204 |
---|---|
Provider Name | Janice Zunich |
First Address | Munster, IN 46321 |
Second Address | Munster, IN 46321 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 18/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100339170A | (05) | IN |
B29311 | (02) | IN |