Individual
DR. STACY ZWICK KER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101016934
MI
207RN0300X
Nephrology Physician
Primary
5101016934
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12236997
CAQH
—
05
—
1841404217
—
MI
Enumeration date
05/09/2007
Last updated
09/09/2022
Update your record
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