Healthcare Provider Details

I. General information

NPI: 1689551079
Provider Name (Legal Business Name): ISABELLA ROSE ZUREK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50194 SCHOENHERR RD
SHELBY TOWNSHIP MI
48315-3136
US

IV. Provider business mailing address

50194 SCHOENHERR RD
SHELBY TOWNSHIP MI
48315-3136
US

V. Phone/Fax

Practice location:
  • Phone: 586-840-8130
  • Fax: 586-992-5305
Mailing address:
  • Phone: 586-840-8130
  • Fax: 586-992-5305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: