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Zachary Koch, DO
Student in an Organized Health Care Education/Training Program in Mount Clemens, Michigan
NPI 1104409812

Zachary Koch is a Student in an Organized Health Care Education/Training Program based in Mount Clemens, MI. Zachary Koch practices in Mount Clemens, MI and has the professional credentials of DO. The NPI Number for Zachary Koch is 1104409812 and holds a License No. (Michigan).

The current practice location address for Zachary Koch is 1000 Harrington St, Mount Clemens, MI and can be reached out via phone at 586-790-9003.

Location: 1000 Harrington St, Mount Clemens, MI, 48043-2920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104409812
Provider Name
Zachary Koch
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1000 Harrington St, Mount Clemens, MI, 48043-2920
Phone Number
586-790-9003
Fax Number
Provider Enumeration Date
04/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Harrington St
City
Mount Clemens
State
Michigan
Zip
48043-2920
Phone Number
586-790-9003
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Harrington St
City
Mount Clemens
State
Michigan
Zip
48043-2920
Phone Number
586-790-9003
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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