Individual
DR. ZACHARY ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 JOHN ST # 55, KALAMAZOO, MI 49007-5341
(269) 341-7597
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
74805
WI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
5101025570
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101025570
MI
Other
Enumeration date
05/10/2018
Last updated
08/12/2024
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