Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael A Ziccardi Jr., DO

Individual provider Family Medicine Physician · NPI 1366433377

Dr. Michael A Ziccardi Jr., DO is a Family Practice in Fenton, Michigan. Qualified in 1994, 32 years ago. Practices with McLaren Flint, a 144-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
32
Licensed in
MI
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2420 Owen Rd
Fenton, MI 48430-3417
Phone: (810) 496-2500
Fax: (810) 629-0415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101012293 (MI)

Record details

NPI number1366433377
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESOctober 16, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice McLaren Flint — 144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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