Provider Demographics
NPI:1972094373
Name:ZAITUNA, JULIE MICHELLE (DO)
Entity Type:Individual
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First Name:JULIE
Middle Name:MICHELLE
Last Name:ZAITUNA
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1522 SIMPSON ROAD EAST
Mailing Address - Street 2:MEDICAL PROFESSIONAL BUILDING ROOM D3202, BOX: 5718
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109
Mailing Address - Country:US
Mailing Address - Phone:734-647-8100
Mailing Address - Fax:734-936-6897
Practice Address - Street 1:1522 SIMPSON ROAD EAST
Practice Address - Street 2:MEDICAL PROFESSIONAL BUILDING ROOM D3202, BOX: 5718
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109
Practice Address - Country:US
Practice Address - Phone:734-647-8100
Practice Address - Fax:734-936-6897
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2021-07-09
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Provider Licenses
StateLicense IDTaxonomies
MI51010261912080P0006X
MI5101023924390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics