Individual
LOUIS ROBERT ZAKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
248 MEADOWS LN, HARBOR SPRINGS, MI 49740-9286
(231) 526-5095
Mailing address
248 MEADOWS LN, HARBOR SPRINGS, MI 49740-9286
(231) 526-5095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301022825
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080B410930
BLUE CROSS BLUE SHIELD MI
MI
05
—
4839384
—
MI
Enumeration date
01/13/2007
Last updated
11/19/2018
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