Individual
DR. MARK ZAWISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23200 PONTIAC TRL STE 100, SOUTH LYON, MI 48178-1983
(248) 466-2935
(248) 466-2936
Mailing address
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301069807
MI
Other
Enumeration date
03/14/2006
Last updated
02/11/2019
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