Provider Demographics
NPI:1356780589
Name:ZWIESELE, SHEILA (MS)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:ZWIESELE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 BOGUE ST
Mailing Address - Street 2:ROOM B207
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-6221
Mailing Address - Country:US
Mailing Address - Phone:517-432-2851
Mailing Address - Fax:
Practice Address - Street 1:1355 BOGUE ST
Practice Address - Street 2:ROOM B207
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48824-6221
Practice Address - Country:US
Practice Address - Phone:517-432-2851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS