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CHRIS ZIELINSKI DOPC NPI 1336201565


NPI Information

NPI: 1336201565
Provider Name: CHRIS ZIELINSKI DOPC

Doing Business As: EXECUTIVE FAMILY AND SPORTS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
771 KENMOOR AVE SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 734-0335
Get Directions

CHRIS ZIELINSKI DOPC is a family medicine in Grand Rapids, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHRIS ZIELINSKI DOPC NPI is 1336201565. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Executive Family And Sports.

The provider's business location address is:

771 KENMOOR AVE SE
GRAND RAPIDS, MI
ZIP 49546-370
Phone: (616) 734-0335
Fax: (616) 949-8540

The provider's authorized official is Christopher Zielinski .
The authorized official title is President and has the following contact phone number (616) 734-0335.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 12/18/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine5101013068MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OP22390MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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