Provider Demographics
NPI:1861805590
Name:ZAJAC, EMILY CAITLIN (DO)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:CAITLIN
Last Name:ZAJAC
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:39475 LEWIS DR STE 270
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2904
Mailing Address - Country:US
Mailing Address - Phone:248-324-9024
Mailing Address - Fax:248-324-9025
Practice Address - Street 1:39475 LEWIS DR STE 270
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2904
Practice Address - Country:US
Practice Address - Phone:248-324-9024
Practice Address - Fax:248-324-9025
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101021213207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology