MEDICARE: JEFFREY BRYAN ZIEL R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5302024622	MI

General Provider Information

NPI Number	:	1780711572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY BRYAN ZIEL R.PH.

Provider Business Mailing Address
First Line	:	3050 BAY RD
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-2415
Country	:	US
Telephone Number	:	989-792-9606
Fax Number	:	989-792-0760

Provider Business Practice Location Address
First Line	:	3050 BAY RD
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-2415
Country	:	US
Telephone Number	:	989-792-9606
Fax Number	:	989-792-0760

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	07/08/2007

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