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NPI Code Detail

MEDICARE: ANXHELA ZACLLI

MEDICARE: ANXHELA ZACLLI
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1437028693
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANXHELA ZACLLI
Provider Business Mailing Address
First Line : 45400 MARKETPLACE BLVD
Second Line :
City : CHESTERFIELD
State : MI
Zip : 48051-3279
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 45400 MARKETPLACE BLVD
Second Line :
City : CHESTERFIELD
State : MI
Zip : 48051-3279
Country : US
Telephone Number : 586-421-1265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2025
Last Update Date : 11/04/2025

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Directions to “ ANXHELA ZACLLI ” Practice Location

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