Provider Demographics
NPI:1265424196
Name:KUZ, JULIAN E (MD)
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:E
Last Name:KUZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1111 LEFFINGWELL AVE NE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-6406
Mailing Address - Country:US
Mailing Address - Phone:616-957-4263
Mailing Address - Fax:616-957-0444
Practice Address - Street 1:1111 LEFFINGWELL AVE NE
Practice Address - Street 2:SUITE 200
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-6406
Practice Address - Country:US
Practice Address - Phone:616-957-4263
Practice Address - Fax:616-957-0444
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2013-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301058769207X00000X, 207XS0106X, 2082S0105X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4096430Medicaid
MI0D14869055Medicare PIN
G44597Medicare UPIN