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NPI Code Detail

MEDICARE: MR. ZACKARY NEHER PA-C

MEDICARE:  MR. ZACKARY  NEHER  PA-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
1363A00000XPhysician Assistant5601012652MI

General Provider Information

NPI Number : 1770304123
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ZACKARY NEHER PA-C
Provider Business Mailing Address
First Line : 6338 STONEHEARTH PASS
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-9141
Country : US
Telephone Number : 810-730-1616
Fax Number :
Provider Business Practice Location Address
First Line : 6338 STONEHEARTH PASS
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-9141
Country : US
Telephone Number : 810-730-1616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2024
Last Update Date : 10/18/2024

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Directions to “ MR. ZACKARY NEHER PA-C” Practice Location

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