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Organization

ALLERGY CLINIC OF WARREN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK N ZACKS M D (OWNER)
(586) 558-5700
Entity
Organization

Contact information

Practice address
28573 SCHOENHERR RD, WARREN, MI 48088-4330
(586) 558-5700
(586) 558-9402
Mailing address
28573 SCHOENHERR RD, WARREN, MI 48088-4330
(586) 558-5700
(586) 558-9402

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MZ035093
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0501676
BCBS
MI
01
103515
GREAT LAKES
MI
01
103944
PREFERRED CHOICES
MI
01
1162941
HEALTH PLUS
MI
05
1787391
MI
01
84180
TOTAL HEALTH
MI
01
B45174
HAP
MI
Enumeration date
05/18/2007
Last updated
04/10/2013
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