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Organization

JERRY E ZAYID DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY E ZAYID DPM (PRESIDENT)
(248) 245-3392
Entity
Organization

Contact information

Practice address
2559 UNION LAKE RD, COMMERCE TWP, MI 48382-3555
(248) 245-3392
(248) 363-8652
Mailing address
2559 UNION LAKE RD, COMMERCE TWP, MI 48382-3555
(248) 245-3392
(248) 363-8652

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001059
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0D41146
BLUE CROSS
MI
05
103578
MI
05
2121060
MI
05
2594961
MI
01
5501440
BLUECROSS
MI
01
O-EO-2656-O
BLUE CROSS SUPPLIER PIN
MI
01
OEO2782
BLUE CROSS
MI
01
OEO3185
BLUE CROSS
MH
01
OH71150
BLUE CROSS
MI
Enumeration date
10/09/2006
Last updated
05/02/2015
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