MEDICARE: DR. ANNE-MARIE TAYLOR ZAWADZKI D.C.

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	111N00000X	Chiropractor	2301008531	MI
2	111N00000X	Chiropractor	7515	AZ

General Provider Information

NPI Number	:	1497703763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE-MARIE TAYLOR ZAWADZKI D.C.

Provider Business Mailing Address
First Line	:	214 W WACKERLY ST
Second Line	:	SUITE 100
City	:	MIDLAND
State	:	MI
Zip	:	48640-2795
Country	:	US
Telephone Number	:	989-837-5998
Fax Number	:	989-835-9632

Provider Business Practice Location Address
First Line	:	214 W WACKERLY ST
Second Line	:	SUITE 100
City	:	MIDLAND
State	:	MI
Zip	:	48640-2795
Country	:	US
Telephone Number	:	989-837-5998
Fax Number	:	989-835-9632

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	10/04/2011

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