Provider Demographics
NPI:1508292194
Name:ZEEMAN, JOHN (CP)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:ZEEMAN
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 E MAIN ST
Mailing Address - Street 2:PO BOX 239
Mailing Address - City:MARION
Mailing Address - State:MI
Mailing Address - Zip Code:49665-9605
Mailing Address - Country:US
Mailing Address - Phone:231-743-2857
Mailing Address - Fax:231-743-2892
Practice Address - Street 1:202 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:MI
Practice Address - Zip Code:49665-9605
Practice Address - Country:US
Practice Address - Phone:231-743-2857
Practice Address - Fax:231-743-2892
Is Sole Proprietor?:No
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management