MEDICARE: DR. ZACHARY KING 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	207L00000X	Anesthesiology Physician	4301098958	MI

General Provider Information

NPI Number	:	1144503517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACHARY KING M.D.

Provider Business Mailing Address
First Line	:	2500 NORTH RD STE 101
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-2668
Country	:	US
Telephone Number	:	810-616-7246
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 NORTH RD STE 101
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-2668
Country	:	US
Telephone Number	:	810-616-7246
Fax Number	:

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

Provider Enumeration Date	:	09/22/2011
Last Update Date	:	06/27/2025

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