Most Relevant Information
Provider Data
| NPI Number: | 1003807306 |
| Provider Name: | KENNETH E ZAWACKI DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 20A4278 |
Most Important Dates
| Enumeration Date: | 11/04/2005 |
| Last Updated: | 06/21/2018 |
Provider Practice Location
39475 LEWIS DR STE 110
NOVI
MI
48377
Practice Location Phone/Fax
| Phone: | 4827416900 |
| Fax: |
Provider Mailing Location
4301 NORTHSTAR WAY
MODESTO
CA
953569262
Provider Mailing Phone/Fax
| Phone: | 2093422300 |
| Fax: | 2095244240 |