Provider Demographics
NPI:1477924611
Name:ACUPUNCTURE INSTITUTE OF MICHIGAN PC
Entity Type:Organization
Organization Name:ACUPUNCTURE INSTITUTE OF MICHIGAN PC
Other - Org Name:TROY WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HUI LAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:248-528-1688
Mailing Address - Street 1:2073 E MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-4493
Mailing Address - Country:US
Mailing Address - Phone:248-528-1688
Mailing Address - Fax:
Practice Address - Street 1:2073 E MAPLE RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-4493
Practice Address - Country:US
Practice Address - Phone:248-528-1688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301014375103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty