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NPI Code Detail

MEDICARE: CHERYL J KUZ MD

MEDICARE: CHERYL J KUZ 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
1208000000XPediatrics Physician4301057864MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21558407189OTHERMIGROUP NPI

General Provider Information

NPI Number : 1447230107
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL J KUZ MD
Provider Business Mailing Address
First Line : 100 MICHIGAN ST NE
Second Line : MC845
City : GRAND RAPIDS
State : MI
Zip : 49503-2560
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 275 MICHIGAN ST NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-2531
Country : US
Telephone Number : 616-391-8810
Fax Number : 616-391-8897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 01/22/2025

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