DAVID ZUKKOOR MD PC
Osteopathic Medicine at Orchard Lake Rd, Farmington, MI

License number
Michigan 4301046395
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. NAMIR DAVID ZUKKOOR M.D.
Title: OWNER
Phone: (248) 851-0500
Address
Address
30000 Orchard Lake Rd, Farmington, MI 48334
National Provider ID: 1144524729
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DAVID ZUKKOOR, M.D PC

Farmington, MI

Registration:
Dec 15, 2010
Addresses:
30000 Orch Lk Rd, Farmington, MI 48334 (Physical)
Michigan (Mailing)
State ID:
03687X
Business type:
Domestic Professional Service Corporation
Agent:
David Zukkoor

N. DAVID ZUKKOOR, M.D., PC

Farmington, MI

Status:
Inactive
Registration:
Mar 14, 2000
Addresses:
30000 Orch Lk, Farmington, MI 48334 (Physical)
Michigan (Mailing)
State ID:
29076A
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2003
Agent:
N David Zukkoor

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