Zachary Dale Seagrave M.D.

NPI 1043573280 - Ophthalmology - 207W00000X

NPI Details
NPI 1043573280
Gender Male
Enumeration Date 06/22/2012
Last Updated 06/22/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
25 MICHIGAN ST NE
SUITE 2200
GRAND RAPIDS MI, 49503-2515, US
Phone (616) 391-3245
Fax (616) 391-3130
Business Location
25 MICHIGAN ST NE
SUITE 2200
GRAND RAPIDS MI, 49503-2515, US
Phone (616) 391-3245
Fax (616) 391-3130
Toxanomy
Taxonomy Code 207W00000X
License State Michigan
License Number 4301100772
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According to our database, Zachary Dale Seagrave M.D. NPI is 1043573280, taxonomy code is 207W00000X and license number is 4301100772, license state is located at Michigan. Zachary Dale Seagrave M.D. physically located at 25 Michigan St Ne, Grand Rapids MI, 49503-2515. NPI Number Zachary Dale Seagrave M.D. has the Individual type.

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1043573280 NPI number is provided on an as is basis without warranty of any kind. 1043573280 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Dale Seagrave M.D. are for informational purposes only.