Individual
WILLIAM SPANG ZACKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2021-02375
NC
207P00000X
Emergency Medicine Physician
34.014802
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426418
—
OH
Enumeration date
03/13/2017
Last updated
12/01/2021
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