Healthcare Provider Details

I. General information

NPI: 1346831468
Provider Name (Legal Business Name): PERSONALIZED FAMILY CARE PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1537 E HILL RD STE 400
GRAND BLANC MI
48439-5190
US

IV. Provider business mailing address

1537 E HILL RD STE 400
GRAND BLANC MI
48439-5190
US

V. Phone/Fax

Practice location:
  • Phone: 810-333-7309
  • Fax:
Mailing address:
  • Phone: 810-333-7309
  • Fax: 949-561-4538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEEL ZIELINSKI
Title or Position: OWNER
Credential: DO
Phone: 248-240-9795