| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Medicare PECOS PAC ID | 3678590650 |
|---|---|
| Medicare Enrollment ID | O20051028000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467626226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 6301006416 (Michigan) | Primary |
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