Healthcare Provider Details

I. General information

NPI: 1306209960
Provider Name (Legal Business Name): ANNA YUE QIU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA YUE QIU M.D.

II. Dates (important events)

Enumeration Date: 03/31/2016
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 PARKLAND PLZ
ANN ARBOR MI
48103-6201
US

IV. Provider business mailing address

3621 S STATE ST
ANN ARBOR MI
48108-1633
US

V. Phone/Fax

Practice location:
  • Phone: 734-615-3217
  • Fax:
Mailing address:
  • Phone: 734-647-5299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number4301512756
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: