Basic Information
Provider Information
NPI: 1356383871
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZEI
FirstName: JULIANNA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 VISTA DR
Address2:  
City: COLDWATER
State: MI
PostalCode: 490361776
CountryCode: US
TelephoneNumber: 5172798404
FaxNumber: 5172798172
Practice Location
Address1: 200 VISTA DR
Address2:  
City: COLDWATER
State: MI
PostalCode: 49036
CountryCode: US
TelephoneNumber: 5172798404
FaxNumber: 5172798172
Other Information
ProviderEnumerationDate: 06/11/2006
LastUpdateDate: 05/22/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X4301104524MIY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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