Individual
JONATHAN THOMAS ZAIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1428 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 693-0543
(248) 630-4301
Mailing address
PO BOX 2137, BIRMINGHAM, MI 48012-2137
(248) 872-7786
(248) 630-4301
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301069018
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568653780
GROUP NPI
MI
05
—
1619905387
—
MI
Enumeration date
06/29/2006
Last updated
07/29/2022
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