Provider Demographics
NPI:1720338379
Name:ZEMKE, TAMMY J (PA)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:J
Last Name:ZEMKE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:497 MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-3190
Mailing Address - Country:US
Mailing Address - Phone:410-414-9840
Mailing Address - Fax:410-414-9841
Practice Address - Street 1:497 MAIN ST
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-3189
Practice Address - Country:US
Practice Address - Phone:410-414-9840
Practice Address - Fax:410-414-9841
Is Sole Proprietor?:No
Enumeration Date:2012-09-11
Last Update Date:2020-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDC0004808363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant