Individual
JOSEPH SCOTT ZICKAFOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W MICHIGAN AVE, YPSILANTI, MI 48197-5443
(734) 539-5080
Mailing address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35089753
OH
208000000X
Pediatrics Physician
Primary
4301095310
MI
208000000X
Pediatrics Physician
57009054
OH
208000000X
Pediatrics Physician
MD53314
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221308
UNISON
OH
01
—
000000527973
ANTHEM
OH
05
—
1021146580001
—
PA
05
—
2766878
—
OH
01
—
415059
WELLCARE
OH
01
—
751032
BUCKEYE
OH
01
—
9569067
AETNA
OH
Enumeration date
05/08/2007
Last updated
12/11/2025
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