Healthcare Provider Details

I. General information

NPI: 1780125856
Provider Name (Legal Business Name): MICHAEL E ZEVITZ MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 W US HIGHWAY 2 STE 2
NORWAY MI
49870-1175
US

IV. Provider business mailing address

415 W US HIGHWAY 2 STE 2
NORWAY MI
49870-1175
US

V. Phone/Fax

Practice location:
  • Phone: 906-563-5800
  • Fax: 906-563-5809
Mailing address:
  • Phone: 906-563-5800
  • Fax: 906-563-5809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301067254
License Number StateMI

VIII. Authorized Official

Name: DR. MICHAEL E ZEVITZ
Title or Position: PRESIDENT
Credential: MD
Phone: 906-563-5800