Organization
ENDOMETRIOSIS TREATMENT CENTER OF AMERICA - MICHIGAN PLLC
Active
Other names
Endometriosis Treatment Center of America
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN ZAIDAN MD (CEO)
(248) 693-1630
Entity
Organization
Contact information
Practice address
1430 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 693-1630
(248) 731-2156
Mailing address
1430 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 693-1630
(248) 731-2156
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
04/19/2021
Last updated
03/06/2025
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