DR. Mark Zawisa, M.D.

NPI #1386612406 in South Lyon, Michigan

Provider Information

NPI Number: 1386612406
Entity Type: Individual
Name: DR. Mark Zawisa, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Mar 14, 2006
Last Updated: Feb 11, 2019

Practice Location

Address: 23200 PONTIAC TRL STE 100
City: South Lyon
State: Michigan
ZIP Code: 48178-1983
Phone: (248) 466-2935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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