Individual
ELIZABETH M ZACHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
35735 MOUND RD STE 100, STERLING HEIGHTS, MI 48310-4728
(586) 261-1960
Mailing address
35735 MOUND RD STE 100, STERLING HEIGHTS, MI 48310-4728
(586) 261-1960
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005341
MI
363AM0700X
Medical Physician Assistant
5601005341
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200E011770
BCBSM GROUP NUMBER
MI
01
—
5601005341
STATE LICENSE
MI
Enumeration date
08/18/2008
Last updated
06/03/2024
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