Dr. Zachary Cohen Hommer, MD
Psychiatry & Neurology, Psychiatry in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1982192431
StatusActive
Last updated in NPPESFeb 19, 2019
Details
- NPI
- 1982192431
- Entity type
- Individual (NPI-1)
- Name
- Dr. Zachary Cohen Hommer
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2018
- Last updated
- Feb 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 4351035203 | MI | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 4301114763 | MI |
Practice location
300 68th St SeGrand Rapids, MI 49548-6927
Phone 616-456-0842 · Fax 616-559-5864
Mailing address
300 68th St SeGrand Rapids, MI 49548-6927
Phone 616-456-0842 · Fax 616-559-5864
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