Individual
DR. ANNE MARIE ZALLAKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8572 PAULINA AVE, GROSSE ILE, MI 48138-1051
(734) 692-6775
Mailing address
PO BOX 690, GROSSE ILE, MI 48138-0690
(734) 692-6775
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301407469
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203500252
BLUE CROSSBLUE SHIELD
MI
05
—
2857042
—
MI
01
—
M023122
CHAMPUS
MI
Enumeration date
01/16/2007
Last updated
07/08/2007
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