| Jian Zu Md Pllc | |
|
22250 Providence Drive Suite 701 Southfield MI 48075-6215 | |
| (248) 569-4500 | |
| (248) 569-3248 |
| Full Name | Jian Zu Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 22250 Providence Drive, Southfield, Michigan |
| Authorized Official Name and Position | Jian Zu (PRESIDENT) |
| Authorized Official Contact | 2485694500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jian Zu Md Pllc 22250 Providence Drive Suite 701 Southfield MI 48075-6215 Ph: (248) 569-4500 | Jian Zu Md Pllc 22250 Providence Drive Suite 701 Southfield MI 48075-6215 Ph: (248) 569-4500 |
| NPI Number | 1578834651 |
|---|---|
| Provider Enumeration Date | 01/20/2012 |
| Last Update Date | 04/19/2012 |
| Medicare PECOS PAC ID | 2961663877 |
|---|---|
| Medicare Enrollment ID | O20120419000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578834651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301072649 (Michigan) | Primary |
| Provider Name | Jian Zu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629096698 PECOS PAC ID: 9436310356 Enrollment ID: I20120419000413 |
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