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NPI Code Detail

MEDICARE: JERRY E ZAYID DPM PC

MEDICARE: JERRY E ZAYID DPM PC
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
1213ES0131XFoot Surgery Podiatrist5901001059MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OH70127OTHERMIBLUE CROSS

General Provider Information

NPI Number : 1891075412
Entity Type Code : Organization
Provider Name (Legal Business Name) : JERRY E ZAYID DPM PC
Provider Business Mailing Address
First Line : 2559 UNION LAKE RD
Second Line :
City : COMMERCE TWP
State : MI
Zip : 48382-3555
Country : US
Telephone Number : 248-245-3392
Fax Number : 248-363-8652
Provider Business Practice Location Address
First Line : 2559 UNION LAKE RD
Second Line :
City : COMMERCE TWP
State : MI
Zip : 48382-3555
Country : US
Telephone Number : 248-245-3392
Fax Number : 248-363-8652
Authorized Official
Title or Position : OWNER
Name : DR. JERRY E ZAYID
Credential : DPM
Telephone Number : 248-245-3392
Provider Enumeration Date : 08/26/2011
Last Update Date : 07/07/2012

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