Individual
LAWRENCE ZAGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
215 E MAIN ST, SUITE A, NORTHVILLE, MI 48167-1681
(248) 348-1131
(248) 348-1170
Mailing address
215 E MAIN ST, SUITE A, NORTHVILLE, MI 48167-1681
(248) 348-1131
(248) 348-1170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101005507
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2110600
—
MI
01
—
OH24978
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
06/18/2006
Last updated
07/08/2007
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