# DR. GEORGE LEE ZENKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1821031717
- **Gender:** Man
- **Credential:** AU.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 1601000481 | MI | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 01/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0A70090 | BCBS | MI |
| 01 | — | 80182103717 | MEDICAID SERVICES | MI |
| 01 | — | 90182103717 | MEDICAID SUPPLIES | MI |
| 01 | — | MI9314 | MEDICARE PTAN | MI |