DR. ANDREW I. DZUL


Address: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116
Phone: 5867797610

DR. ANDREW I. DZUL (NPI# 1295828358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295828358
Entity Type Individual
Full Name DR. ANDREW I. DZUL
Credential M.D.
Practice Address 21000 E 12 Mile Rd
Suite 111
Saint Clair Shores
MI 48081-1116
Mailing Address 21000 E 12 Mile Rd
Ste 111
St Clair Shores
MI 48081
Practice Telephone 5867797610
Mailing Telephone 5867797610
Mailing Fax Number 5864452523
Enumeration Date 2006-10-02
Last Update Date 2012-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YX0602X Otolaryngology
Specialization: Otolaryngic Allergy
AD044645 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE 040000850 01
BLUE CARE NETWORK 0500117 01
MI BLUE CROSS BLUE SHIELD 0405001172 01
CIGNA 2340163001 01
CARE CHOICES 101664 01
GREAT LAKES 103904 01
MI BLUE SHIELD GROUP 040E061920 01
MCARE C4865 01
HEALTH ALLIANCE PLAN A76344 01
AETNA 4033205 01

Office Location

Street Address 21000 E 12 MILE RD
SUITE 111
City SAINT CLAIR SHORES
State MI
Zip Code 48081-1116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255330486 Jennifer Kay Appleyard Allergy & Immunology 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI 48081-1116 2005-07-19
1881203479 Andrew Michael Keltz Speech-Language Pathologist 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 2020-07-29
1770120230 Holly Ann Reckers Speech-Language Pathologist 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 2019-12-04
1578037966 Maria Juliana Codino Speech-Language Pathologist 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 2019-01-18
1942779921 Maria D Samsa Physician Assistant 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 2018-11-19
1801331210 Katja N Tandarich Nurse Practitioner 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 2016-12-21
1053854133 Jean P. Skeffington Speech-Language Pathologist 21000 E 12 Mile Rd, Suite111, Saint Clair Shores, MI 48081-1116 2016-11-22
1134588254 Alyssa Domenica Baker Physician Assistant 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 2016-02-17
1316350192 Seton Health Corporation of Southeastern Michigan Clinic/Center 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 2014-06-09
1720404775 Sean Anthony Cassleman Internal Medicine 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 2014-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750865416 Saint Clair Family Pharmacy LLC Pharmacy 28001 Harper Ave., Saint Clair Shores, MI 48081 2018-09-19
1669995783 Terra Laquay Ginther Social Worker 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 2017-07-20
1245676998 Julia Hanson Social Worker 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 2013-05-21
1760731301 Life Transition Service Community/Behavioral Health 21031 Sunnydale, St. Clair Shore, MI 48081 2012-08-29
1477868792 William Burr Wood Pharmacist 21000 Twelve Milerd., St Clair Shores, MI 48081 2010-08-11
1508094350 Dominic Anthony Garrisi Anesthesiology 21018 Bon Brae, St. Clair Shores, MI 48081 2009-06-30
1992947022 Karen Ostrowski-thomas Occupational Therapist 22442 Bayview, St. Clair Shores, MI 48081 2009-04-06
1891979787 Chirag Rachhadia Physical Therapist 29150 Harper Avenue, St. Clair Shores, MI 48081 2007-12-27
1598955114 Donna Warner Manczak Psychologist 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 2007-07-30
1467652347 Sumit Narayanprasad Fogla Family Medicine 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 2007-07-19
Find all providers in zip 48081

Taxonomy Information

Taxonomy Code 207YX0602X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Otolaryngic Allergy

Taxonomy Definition

An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851332712 Douglas F Wacker Otolaryngology 1323 E Michigan Ave, Lansing, MI 48912-2104 2006-06-09
1588616650 Ali F Mafee Otolaryngology 33330 Palmer Rd, Westland, MI 48186-5529 2006-05-17
1316901739 Gerald L Gilroy Otolaryngology 231 W Lake Lansing Rd, Suite 500 Asher Court, East Lansing, MI 48823-8472 2006-04-13
1033198502 James T. Bishop, M.d., P.C. Otolaryngology 844 S Washington Ave, Ste 1800, Holland, MI 49423-7186 2006-01-12
1922001791 James Tegart Bishop Otolaryngology 388 Garden Ave, Ste 100, Holland, MI 49424-7186 2005-05-24
1598980773 Paul Henri Belanger Otolaryngology 268 Seminole Rd, Norton Shores, MI 49444-3733 2007-04-14
1235250978 Gerald L Gilroy Do PC Otolaryngology 231 W Lake Lansing Rd, Suite 500 Asher Court, East Lansing, MI 48823-8472 2007-04-02
1609939743 Jeffrey Scott Milewski Otolaryngology 2551 Mcleod Dr S, Saginaw, MI 48604-2827 2006-12-19

Competitor

Search similar providers

City SAINT CLAIR SHORES
Zip Code 48081

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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