Individual
MARC ZUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16001 W 9 MILE RD, DEPT OF PATHOLOGY, SOUTHFIELD, MI 48075-4818
(248) 849-3000
(248) 849-5392
Mailing address
P.O. BOX 1468, NOVI, MI 48099-1468
(248) 746-0342
(248) 746-0308
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301053779
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279841510
—
MI
Enumeration date
08/09/2005
Last updated
04/23/2014
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