Provider Demographics
NPI:1336262211
Name:ZHENG, KUOJIAN (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MR
First Name:KUOJIAN
Middle Name:
Last Name:ZHENG
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-1342
Mailing Address - Country:US
Mailing Address - Phone:313-642-1088
Mailing Address - Fax:
Practice Address - Street 1:890 HAMPTON RD
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-1342
Practice Address - Country:US
Practice Address - Phone:313-642-1088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist