Individual
DR. MARK MASAO KANZAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1040 W BRISTOL RD, FLINT, MI 48507-5516
(810) 257-3724
(810) 257-3731
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101010484
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2653900774
BCBS
MI
05
—
4141722
—
MI
Enumeration date
08/15/2006
Last updated
03/23/2026
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