Individual
JOHN DAVID DENZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5315 ELLIOTT DR, SUITE 304, YPSILANTI, MI 48197-8634
(734) 712-0655
(734) 712-0611
Mailing address
PO BOX 0446 24 FRANK LLOYD WRIGHT DR. LOBBY J, IHA, ANN ARBOR, MI 48106
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301033966
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101582
CARE CHOICES
MI
01
—
2008154942
BLUE CROSS BLUE SHIELD
MI
05
—
4774280
—
MI
Enumeration date
11/17/2005
Last updated
04/12/2016
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