Healthcare Provider Details

I. General information

NPI: 1831368992
Provider Name (Legal Business Name): STEVEN FREDERICK ZUSKA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 06/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36175 HARPER AVE
CLINTON TWP MI
48035-3274
US

IV. Provider business mailing address

36175 HARPER AVE
CLINTON TWP MI
48035-3274
US

V. Phone/Fax

Practice location:
  • Phone: 586-741-3772
  • Fax:
Mailing address:
  • Phone: 586-741-3772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number4301088659
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: