Basic Information
Provider Information
NPI: 1124382353
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAWAYA
FirstName: ZACHARY
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4000 WELLNESS DR
Address2:  
City: MIDLAND
State: MI
PostalCode: 486702000
CountryCode: US
TelephoneNumber: 9898393000
FaxNumber: 9898391393
Practice Location
Address1: 4000 WELLNESS DR
Address2:  
City: MIDLAND
State: MI
PostalCode: 486702000
CountryCode: US
TelephoneNumber: 9898393000
FaxNumber: 9898391393
Other Information
ProviderEnumerationDate: 07/03/2012
LastUpdateDate: 10/06/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X4301100611MIY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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