Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MI |
NPI | 1023528544 |
---|---|
Provider Name | Mrs. Jennifer Zaner |
First Address | Macomb, MI 48042-1024 |
Second Address | Macomb, MI 48042-1024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2017 |
Last Update Date | 11/10/2017 |