NPI 1154538619

Allergy Clinic of Livingston County PC

Organisation Allergy & Immunology Physician Brighton, MI

Practice location

Address: 8619 W Grand River Ave STE. J, Brighton, MI 48116-2334
Phone: (810) 227-6793
Fax: (810) 227-5397

Authorised official

Name: Mark N Zacks
Title: Owner
Phone: (810) 227-6793

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence MZ035093 (MI)

Other Allergy & Immunology providers in Michigan →

Registry record

NPI: 1154538619
Entity type: Organization
NPI issued: 16 May 2007
Record last updated: 25 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.