Individual
ZACHARY TODD SKABELUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 DESMOND ST, SAYRE, PA 18840-2001
(570) 887-3163
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3456
(607) 547-6612
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
310149-01
NY
207N00000X
Dermatology Physician
Primary
MD474122
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
07/08/2022
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