Individual
DR. ZACHARY ROBERT SMITH
Active
Individual
DR. ZACHARY ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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