Provider Demographics
NPI:1801377965
Name:SEAN ZAGER, MD, PLLC
Entity Type:Organization
Organization Name:SEAN ZAGER, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:ZAGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-945-2850
Mailing Address - Street 1:1133 POMONA RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3044
Mailing Address - Country:US
Mailing Address - Phone:734-945-2850
Mailing Address - Fax:
Practice Address - Street 1:2800 S STATE ST STE 215
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-7103
Practice Address - Country:US
Practice Address - Phone:734-945-2850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301096477261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care