PERRY EARL ZACK

MERRILLVILLE, IN
NPI1568431559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02001537)
Enumeration Date2006-03-14
Last Update Date2017-01-24
Business Address
-- PERRY EARL ZACK DO
751 E 81ST AVE
MERRILLVILLE, IN 46410-5538
Phone number: 219-791-9476
Mailing Address
-- PERRY EARL ZACK DO
751 E 81ST AVE
MERRILLVILLE, IN 46410-5538
Phone number: 219-791-9476
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