Provider Demographics
NPI:1942241393
Name:PURZYCKI, ZBIGNIEW (MD)
Entity Type:Individual
Prefix:DR
First Name:ZBIGNIEW
Middle Name:
Last Name:PURZYCKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41400 DEQUINDRE RD STE 121
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-3751
Mailing Address - Country:US
Mailing Address - Phone:586-843-3815
Mailing Address - Fax:586-843-3920
Practice Address - Street 1:41400 DEQUINDRE RD STE 121
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-3751
Practice Address - Country:US
Practice Address - Phone:586-843-3815
Practice Address - Fax:586-843-3920
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301064027207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M03850003OtherMEDICARE INDIVIDUAL PIN
MI103339220Medicaid
MI0N31900Medicare PIN
MIG47504Medicare UPIN
MI0M03850Medicare PIN
MI0M03850003OtherMEDICARE INDIVIDUAL PIN