Individual
SIBIN K ZACHARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1030 HARRINGTON ST, STE 101, MOUNT CLEMENS, MI 48043-2967
(586) 464-4010
(586) 468-7997
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(586) 710-8300
(810) 342-1591
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301092477
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301092477
MI
Other
Enumeration date
07/03/2008
Last updated
06/24/2016
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