Individual
ZHIJUN GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 FRANCISCAN WAY STE 300, MICHIGAN CITY, IN 46360-0033
(219) 877-1101
(219) 877-1187
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01071598A
IN
2084N0400X
Neurology Physician
35-087293
OH
2084N0400X
Neurology Physician
TP561
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000784257
ANTHEM
—
05
—
200845220
—
IN
05
—
2627769
—
OH
Enumeration date
09/19/2006
Last updated
06/20/2024
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