Healthcare Provider Details
I. General information
NPI: 1861916348
Provider Name (Legal Business Name): GFZ MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2017
Last Update Date: 07/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 W BIG BEAVER RD STE 280
BLOOMFIELD HILLS MI
48304-3912
US
IV. Provider business mailing address
1774 PIERCE ST
BIRMINGHAM MI
48009-2056
US
V. Phone/Fax
- Phone: 248-224-3693
- Fax:
- Phone: 248-224-3693
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YX0905X |
| Taxonomy | Otolaryngology/Facial Plastic Surgery Physician |
| License Number | 4301082378 |
| License Number State | MI |
VIII. Authorized Official
Name: DR.
GIANCARLO
FIORINDO
ZULIANI
Title or Position: OWNER
Credential: MD
Phone: 248-224-3693