Individual
DR. MICHAEL ZACHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 ANDREA ST, BOWLING GREEN, KY 42104-5852
(270) 781-5111
(270) 781-0566
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 783-3323
(270) 781-0566
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
24502
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
24502
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64245020
—
KY
Enumeration date
06/22/2005
Last updated
06/03/2019
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