Individual
LAWRENCE ADAM ZEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
1 FORD PL, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036118709
IL
2084N0600X
Clinical Neurophysiology Physician
036118709
IL
2084N0600X
Clinical Neurophysiology Physician
Primary
4301508445
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036118709
STATE LICENSE
IL
05
—
036118709
—
IL
Enumeration date
08/15/2008
Last updated
01/16/2023
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