Individual
ZACKARY WAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 HIGHLANDER POINT DR STE 300, FLOYDS KNOBS, IN 47119-9465
(812) 923-2273
Mailing address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02007724A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
04/06/2021
Last updated
04/09/2024
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