Individual
DR. GEORGE LEE ZENKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
545 ASHMUN ST, SUITE 6, SAULT SAINTE MARIE, MI 49783-1936
(906) 259-7150
(906) 259-1501
Mailing address
545 ASHMUN ST, SUITE 6, SAULT SAINTE MARIE, MI 49783-1936
(906) 259-7150
(906) 259-1501
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000481
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A70090
BCBS
MI
01
—
80182103717
MEDICAID SERVICES
MI
01
—
90182103717
MEDICAID SUPPLIES
MI
01
—
MI9314
MEDICARE PTAN
MI
Enumeration date
06/14/2006
Last updated
01/07/2016
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