Healthcare Provider Details

I. General information

NPI: 1285297143
Provider Name (Legal Business Name): JOYCE YUESHUO XU MD, DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YUESHUO XU

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E MEDICAL CENTER DRIVE FLOOR 1, ROOM 1904, RECEPTION A
ANN ARBOR MI
48109-0312
US

IV. Provider business mailing address

1500 E MEDICAL CENTER DR G1218 TOWSLEY, SPC 5222
ANN ARBOR MI
48109-5222
US

V. Phone/Fax

Practice location:
  • Phone: 734-615-6095
  • Fax: 734-764-3485
Mailing address:
  • Phone: 734-232-6048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4301513576
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: