MEDICARE: WEILAND ZHANG

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
1	171100000X	Acupuncturist	AC 277	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100292	OTHER	ME	ANTHEM BLUE CROSS

General Provider Information

NPI Number	:	1811028814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEILAND ZHANG

Provider Business Mailing Address
First Line	:	65 E ST
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-2811
Country	:	US
Telephone Number	:	207-767-9868
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 E ST
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-2811
Country	:	US
Telephone Number	:	207-767-9868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	07/08/2007

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Directions to “ WEILAND ZHANG ” Practice Location

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