| Perry E Zack Do | |
|
1400 S Lake Park Ave Suit 405 Hobart IN 46342-6636 | |
| (219) 945-0090 | |
| (219) 945-1118 |
| Full Name | Perry E Zack Do |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 S Lake Park Ave, Hobart, Indiana |
| Authorized Official Name and Position | Perry Earl Zack (OWNER) |
| Authorized Official Contact | 2199450090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry E Zack Do 1400 S Lake Park Ave Suit 405 Hobart IN 46342-6636 Ph: (219) 945-0090 | Perry E Zack Do 1400 S Lake Park Ave Suit 405 Hobart IN 46342-6636 Ph: (219) 945-0090 |
| NPI Number | 1881889491 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 09/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881889491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02001537 (Indiana) | Primary |
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