Provider Demographics
NPI:1972004364
Name:ZHANG, SHUMIN (PA-C)
Entity type:Individual
Prefix:
First Name:SHUMIN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:804 SERVICE RD STE A202
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-7015
Mailing Address - Country:US
Mailing Address - Phone:517-353-4941
Mailing Address - Fax:517-432-3145
Practice Address - Street 1:4650 S HAGADORN RD STE 100
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-5386
Practice Address - Country:US
Practice Address - Phone:517-353-4941
Practice Address - Fax:517-432-3145
Is Sole Proprietor?:No
Enumeration Date:2018-02-22
Last Update Date:2025-03-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601008500363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant