Individual
DR. JOHN OLIVER ZACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
224 CIRCLE DR, TRAVERSE CITY, MI 49684-2342
(231) 932-4880
(231) 935-0613
Mailing address
224 CIRCLE DR, TRAVERSE CITY, MI 49684-2342
(231) 932-4880
(231) 935-0613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301032318
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B81016
BCBS PROVIDER NUMBER
MI
05
—
4160049
—
MI
Enumeration date
06/23/2005
Last updated
06/20/2011
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