Individual
DR. ERIK DAVID ZUCKERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 S LAPEER RD, SUITE 100, LAKE ORION, MI 48360-1467
(248) 693-3551
(248) 693-4643
Mailing address
1455 S LAPEER RD, SUITE 100, LAKE ORION, MI 48360-1467
(248) 693-3551
(248) 693-4643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301063841
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106329252
BCBS BCN
MI
01
—
0106364922
BCN
MI
01
—
080141910
RAILROAD MEDICARE
MI
01
—
5146564
AETNA
MI
01
—
C6585
MCARE
MI
01
—
G38771
HAP
MI
Enumeration date
12/21/2006
Last updated
07/08/2008
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