Healthcare Provider Details

I. General information

NPI: 1841366218
Provider Name (Legal Business Name): EPHRAIM M ZINBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 12/01/2020
Certification Date: 12/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28300 ORCHARD LAKE RD
FARMINGTON HILLS MI
48334-3704
US

IV. Provider business mailing address

25700 SOUTHWOOD DR
SOUTHFIELD MI
48075-2049
US

V. Phone/Fax

Practice location:
  • Phone: 248-626-0135
  • Fax: 248-626-0150
Mailing address:
  • Phone: 248-752-6328
  • Fax: 248-552-6278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number4301077701
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: