Provider Demographics
NPI:1598855678
Name:ZEKMAN, ESTHER S (DO)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:S
Last Name:ZEKMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:S
Other - Last Name:POLEVOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:6900 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3405
Mailing Address - Country:US
Mailing Address - Phone:248-855-6663
Mailing Address - Fax:248-855-7546
Practice Address - Street 1:6900 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 306
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3405
Practice Address - Country:US
Practice Address - Phone:248-855-6663
Practice Address - Fax:248-855-7546
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101015402207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOM92440Medicare UPIN