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MARK N ZACKS M.D.

Allergy and Immunology

Brighton, Michigan

Provider NPI: 1881658953

Provider Information:
 MARK N ZACKS M.D.


Practice Location:
8619 W GRAND RIVER AVE STE. J BRIGHTON, MI 48116 US
Tel: 810-227-6793  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
MIMZ035093

Other Provider Identifiers:

IssuerNumberStateType
HAP93648AMI01
1ST HEALTH1144084MI01
AETNA11217890MI01
BCBSM &BCN700D711040MI01
4840320MI05
CHAMPUSM011067MI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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