Individual
DR. LEONARD J ZUCKERMAN
Active
Individual
DR. LEONARD J ZUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
LZ038612
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001219
MCLAREN
MI
05
—
101406913
—
MI
01
—
200000001089
PHYSICIAN HEALTH PLAN
—
01
—
340002932
RAILROAD MEDICARE
MI
01
—
340C376010
BLUE CROSS BLUE SHIELD
MI
01
—
4474856
AETNA
—
01
—
DR330116
MCARE
—
Enumeration date
10/04/2006
Last updated
01/14/2014
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