Healthcare Provider Details

I. General information

NPI: 1134134919
Provider Name (Legal Business Name): STEVEN MICHAEL ZAVINSKY DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WILLIAM CARLS DR RSC @ HURON VALLEY SINAI HOSPITAL
COMMERCE TWP MI
48382-2201
US

IV. Provider business mailing address

1 WILLIAM CARLS DR RSC @ HURON VALLEY SINAI HOSPITAL
COMMERCE TWP MI
48382-2201
US

V. Phone/Fax

Practice location:
  • Phone: 248-937-4947
  • Fax: 248-937-5150
Mailing address:
  • Phone: 248-937-4947
  • Fax: 248-937-5150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number5901002165
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: