Organization
PETER ZADVINSKIS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER Z ZADVINSKIS MD (OWNER)
(231) 592-5507
Entity
Organization
Contact information
Practice address
705 OAK ST, SUITE #5, BIG RAPIDS, MI 49307-3107
(231) 592-5507
(231) 592-4841
Mailing address
705 OAK ST, SUITE #5, BIG RAPIDS, MI 49307-3107
(231) 592-5507
(231) 592-4841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PZ056351
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108153
PREFERRED CHOICES
MI
01
—
1105434031
BCBS
MI
01
—
P00230491
RR MCARE
MI
Enumeration date
05/14/2007
Last updated
04/20/2008
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