Provider Demographics
NPI:1275692642
Name:ZACHAREK, CLAUDIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:
Last Name:ZACHAREK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4677 TOWNE CENTRE RD STE 303
Mailing Address - Street 2:MEDICAL ARTS 3
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2848
Mailing Address - Country:US
Mailing Address - Phone:989-401-5354
Mailing Address - Fax:989-790-7941
Practice Address - Street 1:4677 TOWNE CENTRE RD STE 303
Practice Address - Street 2:MEDICAL ARTS 3
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2848
Practice Address - Country:US
Practice Address - Phone:989-401-5354
Practice Address - Fax:989-790-7941
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2021-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL7540207RN0300X
MI4301092586207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1275692642Medicaid
MI1275692642Medicaid