Organization
LAWRENCE P ZABLOCKI, MD
Active
Other names
Southfield Metabolic Support Assocaites
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE P ZABLOCKI MD (PRESIDENT)
(248) 788-2401
Entity
Organization
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
16013 COLLECTION CENTER DR, CHICAGO, IL 60693-0160
(248) 788-2401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301053347
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F36159
BCBSM
MI
05
—
2743248
—
MI
Enumeration date
04/15/2008
Last updated
10/24/2011
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