Healthcare Provider Details

I. General information

NPI: 1407597214
Provider Name (Legal Business Name): KRISTOPHER WILLIAM ZUHL D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15855 19 MILE RD
CLINTON TWP MI
48038-3504
US

IV. Provider business mailing address

15855 19 MILE RD
CLINTON TWP MI
48038-3504
US

V. Phone/Fax

Practice location:
  • Phone: 586-263-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number02008382A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: