| Charles J Zickus Do Plc | |
|
1700 Clinton St Muskegon MI 49442-5502 | |
| (231) 728-5858 | |
| Not Available |
| Full Name | Charles J Zickus Do Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1700 Clinton St, Muskegon, Michigan |
| Authorized Official Name and Position | Charles J Zickus (PLC) |
| Authorized Official Contact | 2317285858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J Zickus Do Plc 4045 Antigo Ct Sw Grandville MI 49418-3145 Ph: (616) 532-2640 | Charles J Zickus Do Plc 1700 Clinton St Muskegon MI 49442-5502 Ph: (231) 728-5858 |
| NPI Number | 1659713824 |
|---|---|
| Provider Enumeration Date | 07/29/2013 |
| Last Update Date | 07/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659713824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101012689 (Michigan) | Primary |
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