Provider Demographics
NPI:1134134919
Name:ZAVINSKY, STEVEN MICHAEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:ZAVINSKY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WILLIAM CARLS DR
Mailing Address - Street 2:RSC @ HURON VALLEY SINAI HOSPITAL
Mailing Address - City:COMMERCE TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-2201
Mailing Address - Country:US
Mailing Address - Phone:248-937-4947
Mailing Address - Fax:248-937-5150
Practice Address - Street 1:1 WILLIAM CARLS DR
Practice Address - Street 2:RSC @ HURON VALLEY SINAI HOSPITAL
Practice Address - City:COMMERCE TWP
Practice Address - State:MI
Practice Address - Zip Code:48382-2201
Practice Address - Country:US
Practice Address - Phone:248-937-4947
Practice Address - Fax:248-937-5150
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901002165213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI142791OtherCARE CHOICES
MI5606110003OtherADMINISTAR FED DME HARTLAND
MI4856316060OtherBCBS PIN
MI5207426 TYPE13Medicaid
MIM72050009OtherMEDICARE ID
MI5207435 TYPE13Medicaid
MI5606110001OtherADMINISTAR FED DME RSC
MI5207426 TYPE13Medicaid