Individual
DR. JACK MATTHEW ZUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 SIXTH ST STE 100, TRAVERSE CITY, MI 49684-2359
(231) 935-0322
(231) 935-0334
Mailing address
1221 SIXTH ST STE 100, TRAVERSE CITY, MI 49684-2359
(231) 935-0322
(231) 935-0334
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101248101
VA
208800000X
Urology Physician
137309
CA
208800000X
Urology Physician
2016-02247
NC
208800000X
Urology Physician
Primary
4301503904
MI
Other
Enumeration date
06/18/2009
Last updated
02/05/2024
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