Healthcare Provider Details

I. General information

NPI: 1003430323
Provider Name (Legal Business Name): ZACHARY A RUMLOW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 JOHN ST STE E-352
KALAMAZOO MI
49007-5341
US

IV. Provider business mailing address

1540 E HOSPITAL DR
ANN ARBOR MI
48109-4000
US

V. Phone/Fax

Practice location:
  • Phone: 269-341-8986
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5101027866
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number5101027866
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: