Healthcare Provider Details

I. General information

NPI: 1437420924
Provider Name (Legal Business Name): JAMES ZURAWSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2012
Last Update Date: 01/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24715 LITTLE MACK AVE STE. 100
SAINT CLAIR SHORES MI
48080-3207
US

IV. Provider business mailing address

24715 LITTLE MACK AVE STE. 100
SAINT CLAIR SHORES MI
48080-3207
US

V. Phone/Fax

Practice location:
  • Phone: 586-779-7970
  • Fax:
Mailing address:
  • Phone: 586-779-7970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number028683
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: