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KENNETH E ZAWACKI DO
NPI 1003807306
Family Medicine in Novi, MI

Active since November 04, 2005
39475 LEWIS DR STE 110, NOVI, MI 48377(482) 741-6900 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth E Zawacki Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH E ZAWACKI DO (NPI 1003807306) is an individual family medicine provider in Novi, Michigan, licensed in Michigan (5101007225) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1003807306
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH E ZAWACKICredential: DO
Location Address39475 LEWIS DR STE 110Novi, MI 48377
Mailing Address4301 Northstar WayModesto, CA 95356-9262 · (209) 342-2300 · Fax (209) 524-4240
Phone(482) 741-6900
Sole ProprietorNo
Enumeration DateNovember 4, 2005
Last NPPES UpdateJune 21, 2018
✔ NPI 1003807306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101007225
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 20A4278 (CA)
39475 LEWIS DR STE 110, Novi, MI 48377
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Other Identifiers 2

Medicaid00AX42780CA
Other020A42780CA · Blue Shield

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY GOLLADAY RD
Dietitian, Registered
39475 LEWIS DR STE 110
NOVI, MI 48377
Oakland County (989) 277-5784

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Zawacki's NPI number?

The NPI number for Kenneth Zawacki is 1003807306. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Kenneth Zawacki located?

Kenneth Zawacki practices at 39475 Lewis Dr Ste 110, Novi, MI 48377. The listed phone number is (482) 741-6900.

What is Kenneth Zawacki's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Zawacki was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.