Individual
CARL STEPHEN ZAYAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8000
Mailing address
4423 SEMINOLE DR, ROYAL OAK, MI 48073-6320
(248) 830-6339
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101018985
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101018985
OSTEOPATHIC MEDICINE AND SURGERY
MI
01
—
53150046841
BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
05/26/2011
Last updated
05/26/2011
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