Individual
DR. RONALD GENE ZACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20276 MIDDLEBELT RD, SUITE 2, LIVONIA, MI 48152-2054
(248) 476-4900
(248) 476-5435
Mailing address
20276 MIDDLEBELT RD, SUITE 2, LIVONIA, MI 48152-2054
(248) 476-4900
(248) 476-5435
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
RZ033941
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444671610
—
MI
05
—
445049710
—
MI
Enumeration date
06/15/2006
Last updated
08/15/2012
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