MEDICARE: JOHN LLOYD ZINKEL MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	4301048627	MI
2	207T00000X	Neurological Surgery Physician	35 050159	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1405016511	OTHER	MI	BCBSM
2	E89394	OTHER	MA	HAP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033174636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN LLOYD ZINKEL MD, PHD

Provider Business Mailing Address
First Line	:	354 UNIVERSITY PL
Second Line	:
City	:	GROSSE POINTE
State	:	MI
Zip	:	48230-1636
Country	:	US
Telephone Number	:	586-774-4600
Fax Number	:	586-774-4603

Provider Business Practice Location Address
First Line	:	21605 E 11 MILE RD
Second Line	:
City	:	ST CLAIR SHORES
State	:	MI
Zip	:	48081-1636
Country	:	US
Telephone Number	:	586-774-4600
Fax Number	:	586-774-4603

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	06/14/2021

Similar Medicare Providers

1104317171 — SYLVIA ROSE JOHNSON
Practice Location Address:

21611 E 11 MILE RD
SAINT CLAIR SHORES, MI
48081-1636

Practice Phone: 248-330-5770
Practice Fax:

1518591932 — MICHIGAN CENTER FOR TRAUMATIC STRESS
Practice Location Address:

21611 E 11 MILE RD
SAINT CLAIR SHORES, MI
48081-1636

Practice Phone: 586-944-2902
Practice Fax:

1861439457 — MR. DAVID JASON SCHWARTZ M.A.
Practice Location Address:

21611 E 11 MILE RD
SAINT CLAIR SHORES, MI
48081-1636

Practice Phone: 586-944-2902
Practice Fax:

1124400932 — NICOLE MARIE GREEN LMSW
Practice Location Address:

21611 E 11 MILE RD STE A
SAINT CLAIR SHORES, MI
48081-1636

Practice Phone: 586-944-2902
Practice Fax:

1750300679 — MARCUS E KOSS M.D.
Practice Location Address:

21603 E 11 MILE RD
SAINT CLAIR SHORES, MI
48081-1636

Practice Phone: 586-280-2100
Practice Fax: 586-210-8808

1932381571 — JOHN L. ZINKEL MD, PC
Practice Location Address:

21605 E 11 MILE RD
SAINT CLAIR SHORES, MI
48081-1636

Practice Phone: 586-774-4600
Practice Fax: 586-774-4603

Directions to “ JOHN LLOYD ZINKEL MD, PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.