Individual
SONG QING ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8701 BROADWAY, MERRILLVILLE, IN 46410-7035
(219) 738-5500
(219) 738-6628
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
45394
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01077724A
IN
Other
Enumeration date
06/01/2006
Last updated
01/23/2024
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