Individual
ZAKORY MITCHEL DIPPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2284 S BALLENGER HWY, FLINT, MI 48503-3446
(810) 221-7871
Mailing address
5437 MAPLE PARK DR, FLINT, MI 48507-3902
(810) 471-1995
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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