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Individual

DR. JERRY E ZAYID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2559 UNION LAKE RD, COMMERCE TWP, MI 48382-3555
(248) 245-3392
(248) 363-8652
Mailing address
2559 UNION LAKE RD, COMMERCE TWP, MI 48382-3555
(248) 245-3392
(248) 363-8652

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
5901001059
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0D41146
BLUE CROSS
MI
05
103578
MI
05
2121060
MI
05
2594961
MI
01
5501440
BLUE CROSS
MI
01
O-EO-2656-O
BLUE CROSS SUPPLIER PIN
MI
01
OEO2782
BLUE CROSS
MI
01
OEO3185
BLUE CROSS
MI
01
OH71150
BLUE CROSS
MI
Enumeration date
05/16/2006
Last updated
10/03/2014
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