Individual
DR. YAAKOV GERSHON ZACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
16232 SHERFIELD PL, SOUTHFIELD, MI 48075-2061
(248) 376-6046
Mailing address
16232 SHERFIELD PL, SOUTHFIELD, MI 48075-2061
(248) 552-1323
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004402
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4553823
—
MI
Enumeration date
08/30/2006
Last updated
07/06/2015
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