Zima, Liesel

Zima, Liesel is an individual health care provider with primary practice located at 3412 W Centre Ave , Portage MI 49024. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Zima, Liesel can be contacted via phone (269) 329-5860.

Contact Information

Primary practice address
3412 W Centre Ave Portage MI 49024
Phone: (269) 329-5860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301105254 Michigan

Profile Details

NPI number 1316352024
LBN Legal business name Zima, Liesel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2014
Last updated May 29th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316352024 NPPES
Michigan Other 4301105254 MICHIGAN MEDICAL LICENSE NUMBER

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