Individual provider · Type 1 NPI

Zachary Douglas

Student in an Organized Health Care Education/Training Program · Northville, MI

NPI number 1639014855 Active

Practice location

39524 Rockcrest Ln
Northville, MI 48168-3960

Call (734) 731-7667 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639014855

Zachary Douglas's National Provider Identifier is 1639014855, issued on Apr 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Northville, MI. The record was last updated on Apr 22, 2026.