Individual
MICHAEL J ZICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 TILGHMAN DR, DUNN, NC 28334-5525
(910) 892-4092
(910) 892-0788
Mailing address
608 TILGHMAN DR, DUNN, NC 28334-5525
(910) 892-4092
(910) 892-0788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27758
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0146C
BLUE CROSS BLUE SHIELD NC
NC
05
—
8989920
—
NC
Enumeration date
07/07/2005
Last updated
03/11/2014
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