MEDICARE: QASIM QUNBER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	AG05260037	MI

General Provider Information

NPI Number	:	1326978511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QASIM QUNBER

Provider Business Mailing Address
First Line	:	140 S INDUSTRIAL DR
Second Line	:
City	:	SALINE
State	:	MI
Zip	:	48176-9493
Country	:	US
Telephone Number	:	734-316-2268
Fax Number	:	734-236-6030

Provider Business Practice Location Address
First Line	:	140 S INDUSTRIAL DR
Second Line	:
City	:	SALINE
State	:	MI
Zip	:	48176-9493
Country	:	US
Telephone Number	:	734-316-2268
Fax Number	:	734-236-6030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “ QASIM QUNBER ” Practice Location

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