Healthcare Provider Details

I. General information

NPI: 1013473487
Provider Name (Legal Business Name): XIN ZHONG ACUPUNCTURIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2019
Last Update Date: 04/20/2024
Certification Date: 04/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2565 S ROCHESTER RD
ROCHESTER HILLS MI
48307-4472
US

IV. Provider business mailing address

340 WILLOW GROVE LN
ROCHESTER HILLS MI
48307-2555
US

V. Phone/Fax

Practice location:
  • Phone: 248-672-2998
  • Fax: 989-799-9862
Mailing address:
  • Phone: 989-992-8564
  • Fax: 989-799-9862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number5402000282
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: