Individual
NATHAN ZZIWA ZZIWAMBAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 BYRON RD, HOWELL, MI 48843-1002
(517) 545-6000
Mailing address
PO BOX 673397, DETROIT, MI 48267-3397
(866) 898-7139
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301074219
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104735147
—
MI
05
—
4433870
—
MI
05
—
4478228
—
MI
05
—
4527618
—
MI
05
—
4628227
—
MI
01
—
NZ074219
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/13/2006
Last updated
05/20/2008
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