MEDICARE: TZU-BOU HSIEH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	5315094401	MI

General Provider Information

NPI Number	:	1396342085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TZU-BOU HSIEH MD

Provider Business Mailing Address
First Line	:	4301 ORCHARD LAKE RD STE 180-137
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-1604
Country	:	US
Telephone Number	:	313-804-6038
Fax Number	:

Provider Business Practice Location Address
First Line	:	6071 W OUTER DR
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48235-2624
Country	:	US
Telephone Number	:	313-966-3300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2020
Last Update Date	:	12/22/2025

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