Organization
PERRY E ZACK DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PERRY EARL ZACK D.O. (OWNER)
(219) 945-0090
Entity
Organization
Contact information
Practice address
1400 S LAKE PARK AVE, SUIT 405, HOBART, IN 46342-6636
(219) 945-0090
(219) 945-1118
Mailing address
1400 S LAKE PARK AVE, SUIT 405, HOBART, IN 46342-6636
(219) 945-0090
(219) 945-1118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001537
IN
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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