Zickus Transitions Mht LLC
NPI #1568847341 in Eaton Rapids, Michigan
Provider Information
- NPI Number
- 1568847341
- Entity Type
- Organization
- Organization Name
- Zickus Transitions Mht LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 22, 2015
- Last Updated
- Jul 22, 2015
Practice Location
- Address
- 2285 S MICHIGAN RD
- City
- Eaton Rapids
- State
- Michigan
- ZIP Code
- 48827-9206
- Phone
- (844) 633-4663
Authorized Official
- Name
- CHARLES ZICKUS, DO
- Title
- OWNER / PRESIDENT
- Phone
- (616) 443-9734
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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