Provider Demographics
NPI:1497703763
Name:ZAWADZKI, ANNE-MARIE TAYLOR (DC)
Entity Type:Individual
Prefix:DR
First Name:ANNE-MARIE
Middle Name:TAYLOR
Last Name:ZAWADZKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 W WACKERLY ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-2795
Mailing Address - Country:US
Mailing Address - Phone:989-837-5998
Mailing Address - Fax:989-835-9632
Practice Address - Street 1:214 W WACKERLY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-2795
Practice Address - Country:US
Practice Address - Phone:989-837-5998
Practice Address - Fax:989-835-9632
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008531111N00000X
AZ7515111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIU95695Medicare UPIN