Provider Demographics
NPI:1669686515
Name:ZENDLER, ROBERT JAY II (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:JAY
Last Name:ZENDLER
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4281 LENNON RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-1024
Mailing Address - Country:US
Mailing Address - Phone:810-733-5535
Mailing Address - Fax:810-733-1076
Practice Address - Street 1:1335 S LINDEN RD
Practice Address - Street 2:SUITE E
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532
Practice Address - Country:US
Practice Address - Phone:810-733-5535
Practice Address - Fax:810-733-1076
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101009018207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1992122OtherMOLINA HEALTH CARE
MI1992122Medicaid