Provider Demographics
NPI:1427494301
Name:GUAN, ZHIXING (ACUPUNCTURIST)
Entity type:Individual
Prefix:
First Name:ZHIXING
Middle Name:
Last Name:GUAN
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:MR
Other - First Name:ZHIXING
Other - Middle Name:
Other - Last Name:GUAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACUPUNCTURIST
Mailing Address - Street 1:2200 N CANTON CENTER RD STE 200A
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-5038
Mailing Address - Country:US
Mailing Address - Phone:734-844-1117
Mailing Address - Fax:
Practice Address - Street 1:2200 N CANTON CENTER RD STE 200A
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-5038
Practice Address - Country:US
Practice Address - Phone:734-844-1117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5401000069171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist