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NPI Code Detail

MEDICARE: DR. JOHN OLIVER ZACHMAN M.D.

MEDICARE: DR. JOHN OLIVER ZACHMAN 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
1207R00000XInternal Medicine Physician4301032318MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10B81016OTHERMIBCBS PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932105921
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN OLIVER ZACHMAN M.D.
Provider Business Mailing Address
First Line : 224 CIRCLE DR
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2342
Country : US
Telephone Number : 231-932-4880
Fax Number : 231-935-0613
Provider Business Practice Location Address
First Line : 224 CIRCLE DR
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2342
Country : US
Telephone Number : 231-932-4880
Fax Number : 231-935-0613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 06/20/2011

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Directions to “ DR. JOHN OLIVER ZACHMAN M.D.” Practice Location

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