Provider Demographics
NPI:1780072538
Name:ZELUFF, RONNA LEE-WARNER (PA)
Entity type:Individual
Prefix:MRS
First Name:RONNA
Middle Name:LEE-WARNER
Last Name:ZELUFF
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:RONNA
Other - Middle Name:LEE
Other - Last Name:WARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:131 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:ALLEGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49010-8627
Mailing Address - Country:US
Mailing Address - Phone:269-492-5569
Mailing Address - Fax:
Practice Address - Street 1:363 FREMONT ST
Practice Address - Street 2:SUITE 203
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3389
Practice Address - Country:US
Practice Address - Phone:269-969-6123
Practice Address - Fax:269-969-6122
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601007255363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical