Most Relevant Information
Provider Data
| NPI Number: | 1003309881 |
| Provider Name: | EMILY ELIZABETH ZECIC PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 5601008665 |
Most Important Dates
| Enumeration Date: | 06/07/2018 |
| Last Updated: | 02/06/2024 |
Provider Practice Location
80 68TH ST SE
GRAND RAPIDS
MI
495486980
Practice Location Phone/Fax
| Phone: | 6163918242 |
| Fax: |
Provider Mailing Location
100 MICHIGAN ST NE # MC845
GRAND RAPIDS
MI
495032560
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |