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Individual

JIMMY CHAMTSUM LU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 E MEDICAL CENTER DR, 1ST FLOOR MOTT HOSPITAL RECP F, ANN ARBOR, MI 48109-5204
(734) 764-5176
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2006-00286
NC
208000000X
Pediatrics Physician
4301089314
MI
2080P0202X
Pediatric Cardiology Physician
Primary
4301089314
MI
2080P0203X
Pediatric Critical Care Medicine Physician
4301089314
MI

Other

Enumeration date
06/29/2006
Last updated
04/16/2010
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