Individual
KEVIN CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1255 E M 36, PINCKNEY, MI 48169-8133
(734) 878-1000
(734) 878-1001
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301116936
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2016
Last updated
07/12/2019
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