Individual
DR. DOUGLAS JOHN ZAKOLSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14319 DIX TOLEDO RD, SOUTHGATE, MI 48195-2506
(734) 285-0677
(734) 285-3574
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101012105
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3455354
—
MI
Enumeration date
12/14/2005
Last updated
10/22/2020
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