Provider Demographics
NPI:1275762098
Name:DAVID M ZALENSKI MD PLLC
Entity Type:Organization
Organization Name:DAVID M ZALENSKI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ZALENSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-552-8888
Mailing Address - Street 1:25350 KELLY RD
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-4961
Mailing Address - Country:US
Mailing Address - Phone:586-552-8888
Mailing Address - Fax:586-552-8874
Practice Address - Street 1:25350 KELLY RD
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-4961
Practice Address - Country:US
Practice Address - Phone:586-552-8888
Practice Address - Fax:586-552-8874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP64069OtherBLUE CARE NETWORK
MI1605024251OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MIC5909OtherMCARE
MI121061OtherCARE CHOICES
MI5073257OtherAETNA
MI906603700OtherCIGNA
MI1799211Medicaid
MI1799211Medicaid
MI906603700OtherCIGNA