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Individual

ZACHARY ANDERSON WHITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 EAST MEDICAL CTR DR, ANN ARBOR, MI 48109-5718
(734) 647-1774
Mailing address
1500 EAST MEDICAL CTR DR, MPB D3230 SPC5718, ANN ARBOR, MI 48109-5718
(734) 647-1774

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4351045074
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4351045074
LIMITED EDUC LICENSE
MI
01
5315207179
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
06/14/2019
Last updated
06/14/2019
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