Provider Demographics
NPI:1578987368
Name:ZWEMER SURGICAL PLC
Entity Type:Organization
Organization Name:ZWEMER SURGICAL PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZWEMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:231-722-2260
Mailing Address - Street 1:1675 LEAHY ST
Mailing Address - Street 2:STE 207
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-5500
Mailing Address - Country:US
Mailing Address - Phone:231-722-2260
Mailing Address - Fax:231-722-3084
Practice Address - Street 1:1675 LEAHY ST
Practice Address - Street 2:STE 207
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-5500
Practice Address - Country:US
Practice Address - Phone:231-722-2260
Practice Address - Fax:231-722-3084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301061383208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty