Walter J. Zetusky, Ph.d., P.c. | |
33135 Schoolcraft Rd Livonia MI 48150-1625 | |
(734) 425-0700 | |
(734) 425-9666 |
Full Name | Walter J. Zetusky, Ph.d., P.c. |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 33135 Schoolcraft Rd, Livonia, Michigan |
Authorized Official Name and Position | Walter J. Zetusky (PROPRIETOR) |
Authorized Official Contact | 7344250700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Walter J. Zetusky, Ph.d., P.c. 33135 Schoolcraft Rd Livonia MI 48150-1625 Ph: (734) 425-0700 | Walter J. Zetusky, Ph.d., P.c. 33135 Schoolcraft Rd Livonia MI 48150-1625 Ph: (734) 425-0700 |
NPI Number | 1467626226 |
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Provider Enumeration Date | 04/14/2008 |
Last Update Date | 04/14/2008 |
Medicare PECOS PAC ID | 3678590650 |
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Medicare Enrollment ID | O20051028000567 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467626226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 6301006416 (Michigan) | Primary |
Provider Name | Walter J Zetusky |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1164511929 PECOS PAC ID: 7810917374 Enrollment ID: I20051129000521 |
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