Zawisa, Mark

Zawisa, Mark is an individual health care provider with primary practice located at 23200 Pontiac Trl Ste 100 , South Lyon MI 48178-1983. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zawisa, Mark can be contacted via phone (248) 466-2935.

Contact Information

Primary practice address
23200 Pontiac Trl Ste 100 South Lyon MI 48178-1983
Fax: (248) 466-2936
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301069807 Michigan

Profile Details

NPI number 1386612406
LBN Legal business name Zawisa, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Feb 11th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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