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Individual

JOHN LLOYD ZINKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
21605 E 11 MILE RD, ST CLAIR SHORES, MI 48081-1636
(586) 774-4600
(586) 774-4603
Mailing address
354 UNIVERSITY PL, GROSSE POINTE, MI 48230-1636
(586) 774-4600
(586) 774-4603

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
35 050159
OH
207T00000X
Neurological Surgery Physician
Primary
4301048627
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1405016511
BCBSM
MI
05
2961425
MI
01
E89394
HAP
MA
Enumeration date
04/18/2006
Last updated
06/14/2021
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