Allergy Clinic Of Warren PC
Allergy & Immunology in Warren, MI. Organization (NPI-2).
NPI number1750599569
StatusActive
Last updated in NPPESApr 10, 2013
Details
- NPI
- 1750599569
- Entity type
- Organization (NPI-2)
- Legal business name
- Allergy Clinic Of Warren PC
- Organization subpart
- No
- Enumeration date
- May 18, 2007
- Last updated
- Apr 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | MZ035093 | MI | Yes |
Practice location
28573 Schoenherr RdWarren, MI 48088-4330
Phone 586-558-5700 · Fax 586-558-9402
Mailing address
28573 Schoenherr RdWarren, MI 48088-4330
Phone 586-558-5700 · Fax 586-558-9402
Authorized official
Mark N Zacks
Owner
5865585700
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