Provider Demographics
NPI:1033179973
Name:ZAKALIK, DANA (MD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:ZAKALIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1701 SOUTH BLVD E
Mailing Address - Street 2:SUITE 350
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-6122
Mailing Address - Country:US
Mailing Address - Phone:248-997-9000
Mailing Address - Fax:248-997-9007
Practice Address - Street 1:3577 W 13 MILE RD STE 140
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6710
Practice Address - Country:US
Practice Address - Phone:248-551-3388
Practice Address - Fax:248-551-8437
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2022-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301048444207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3452890Medicaid
MIA79484Medicare UPIN