Healthcare Provider Details

I. General information

NPI: 1437355898
Provider Name (Legal Business Name): SEAN HOWARD ZAGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 07/07/2022
Certification Date: 07/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 WHITEHALL DR STE 150
ANN ARBOR MI
48105-9694
US

IV. Provider business mailing address

1148 OLDEN RD
ANN ARBOR MI
48103-3005
US

V. Phone/Fax

Practice location:
  • Phone: 734-995-0308
  • Fax: 734-995-0425
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301096477
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: