Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2009010335 | MO |
N | 111NI0900X | Internist | 2009010335 | MO |
N | 207R00000X | Internist | 4301102180 | MI |
N | 111NI0900X | Internist | 4301102180 | MI |
Y | 207T00000X | Neurosurgeon | 4301102180 | MI |
NPI | 1063649101 |
---|---|
Provider Name | Dr. Simeon Zou |
First Address | Kalamazoo, MI 49007-5341 |
Second Address | Kalamazoo, MI 49007-5341 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2009 |
Last Update Date | 23/09/2020 |