Healthcare Provider Details

I. General information

NPI: 1497197875
Provider Name (Legal Business Name): XIPING ZHOU M.D.O.M, LAC, L.M.T
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2013
Last Update Date: 07/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6425 NORMANDY LN
MADISON WI
53719-1133
US

IV. Provider business mailing address

6425 NORMANDY LN
MADISON WI
53719-1133
US

V. Phone/Fax

Practice location:
  • Phone: 608-236-9000
  • Fax:
Mailing address:
  • Phone: 608-236-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number39-1990185
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: