Individual
MATTHEW JAMES LUZUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, 3RD FLOOR TAUBMAN CENTER RECP B, ANN ARBOR, MI 48109-5352
(734) 936-5582
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1497012116
OH
207R00000X
Internal Medicine Physician
Primary
4301109335
MI
208000000X
Pediatrics Physician
1497012116
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2012
Last updated
06/06/2016
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