Healthcare Provider Details

I. General information

NPI: 1568167385
Provider Name (Legal Business Name): NICOLAS H ZINGAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 04/03/2023
Certification Date: 04/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15855 19 MILE RD STE 400
CLINTON TWP MI
48038-3504
US

IV. Provider business mailing address

15855 19 MILE RD STE 400
CLINTON TWP MI
48038-3504
US

V. Phone/Fax

Practice location:
  • Phone: 313-618-2026
  • Fax:
Mailing address:
  • Phone: 313-618-2026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: