Provider Demographics
NPI:1336301647
Name:HILLMAN, ZACHARY J (DO)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:J
Last Name:HILLMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-1352
Mailing Address - Country:US
Mailing Address - Phone:810-721-7476
Mailing Address - Fax:810-821-5717
Practice Address - Street 1:1500 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-1352
Practice Address - Country:US
Practice Address - Phone:810-721-7476
Practice Address - Fax:810-821-5717
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101021470207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine