Individual
DR. DANIEL SETH ZUCKERBROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14400 WEST MCNICHOLS, DETROIT, MI 48235-3916
(313) 341-3450
(313) 341-2135
Mailing address
43996 WOODWARD AVE, SUITE 101, BLOOMFIELD HILLS, MI 48302-5027
(248) 332-4544
(248) 332-2716
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301077700
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4604360
—
MI
05
—
4604379
—
MI
05
—
4604388
—
MI
Enumeration date
09/20/2005
Last updated
11/29/2012
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