MEDICARE: DR. MARK ZAWISA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301069807	MI

General Provider Information

NPI Number	:	1386612406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ZAWISA M.D.

Provider Business Mailing Address
First Line	:	24 FRANK LLOYD WRIGHT DR
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48105-9484
Country	:	US
Telephone Number	:	734-747-6766
Fax Number	:

Provider Business Practice Location Address
First Line	:	23200 PONTIAC TRL STE 100
Second Line	:
City	:	SOUTH LYON
State	:	MI
Zip	:	48178-1983
Country	:	US
Telephone Number	:	248-466-2935
Fax Number	:	248-466-2936

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	02/11/2019

Similar Medicare Providers

1760231146 — 3 CORNERS COUNSELING CENTER PLLC
Practice Location Address:

23200 PONTIAC TRL STE B
SOUTH LYON, MI
48178-1983

Practice Phone: 248-222-0264
Practice Fax:

1558395954 — ELIZABETH MORELLI MD
Practice Location Address:

23200 PONTIAC TRL STE 100
SOUTH LYON, MI
48178-1983

Practice Phone: 248-446-2935
Practice Fax: 248-466-2936

1912389412 — NATALIE BAER MD
Practice Location Address:

23200 PONTIAC TRL STE 100
SOUTH LYON, MI
48178-1983

Practice Phone: 248-446-2935
Practice Fax: 248-446-2936

1417305129 — MARTIN JOHN TINKERHESS M.D.
Practice Location Address:

23200 PONTIAC TRL
SOUTH LYON, MI
48178-1983

Practice Phone: 248-446-2935
Practice Fax: 248-446-2936

1063949121 — LAUREN ELIZABETH CARNEY DO
Practice Location Address:

23200 PONTIAC TRL
SOUTH LYON, MI
48178-1983

Practice Phone: 248-446-2935
Practice Fax: 248-446-2936

1669955894 — IHA HEALTH SERVICES CORPORATION
Practice Location Address:

23200 PONTIAC TRL STE 100
SOUTH LYON, MI
48178-1983

Practice Phone: 248-446-2935
Practice Fax: 248-446-2936

Directions to “ DR. MARK ZAWISA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.