Individual
DR. MICHAEL C ZACHARISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4265 FALLON ST STE 3A, BOZEMAN, MT 59718-6797
(406) 451-7017
(406) 451-7020
Mailing address
4265 FALLON ST STE 3A, BOZEMAN, MT 59718-6797
(406) 451-7017
(406) 451-7020
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
12449
MT
Other
Enumeration date
05/16/2006
Last updated
09/05/2012
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