Provider Demographics
NPI:1326106972
Name:WU, ZHENG (MD)
Entity Type:Individual
Prefix:
First Name:ZHENG
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:MD
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Other - Middle Name:
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Mailing Address - Street 1:1701 SOUTH BLVD E
Mailing Address - Street 2:SUITE 270
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-6122
Mailing Address - Country:US
Mailing Address - Phone:248-853-2223
Mailing Address - Fax:248-853-4300
Practice Address - Street 1:1701 SOUTH BLVD E
Practice Address - Street 2:SUITE 150
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-6122
Practice Address - Country:US
Practice Address - Phone:248-853-6300
Practice Address - Fax:248-853-6303
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2011-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301086863207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104861017Medicaid
MI104861017Medicaid