Individual
DR. ANDREW I. DZUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21000 E 12 MILE RD, SUITE 111, SAINT CLAIR SHORES, MI 48081-1116
(586) 779-7610
Mailing address
21000 E 12 MILE RD, STE 111, ST CLAIR SHORES, MI 48081
(586) 779-7610
(586) 445-2523
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
AD044645
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040000850
RAILROAD MEDICARE
—
01
—
0405001172
BLUE CROSS BLUE SHIELD
MI
01
—
040E061920
BLUE SHIELD GROUP
MI
01
—
0500117
BLUE CARE NETWORK
—
01
—
101664
CARE CHOICES
—
01
—
103904
GREAT LAKES
—
01
—
2340163001
CIGNA
—
01
—
4033205
AETNA
—
01
—
A76344
HEALTH ALLIANCE PLAN
—
01
—
C4865
MCARE
—
Enumeration date
10/02/2006
Last updated
07/09/2012
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