Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 4301058769 | MI |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 4301058769 | MI |
N | 2082S0105X | Plastic Hand Surgeon | 4301058769 | MI |
N | 208200000X | Surgeon | 4301058769 | MI |
N | 208600000X | Surgeon | 4301058769 | MI |
NPI | 1265424196 |
---|---|
Provider Name | Julian E Kuz |
First Address | Grand Rapids, MI 49525-6406 |
Second Address | Grand Rapids, MI 49525-6406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2005 |
Last Update Date | 12/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4096430 | (05) | MI |
G44597 | (02) |