Healthcare Provider Details

I. General information

NPI: 1497705974
Provider Name (Legal Business Name): DON JEFFERY CUI PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3009 N SAGINAW RD
MIDLAND MI
48640-4555
US

IV. Provider business mailing address

2871 W SUGNET RD
MIDLAND MI
48640
US

V. Phone/Fax

Practice location:
  • Phone: 989-633-1350
  • Fax: 989-633-1360
Mailing address:
  • Phone: 989-633-8000
  • Fax: 989-633-8172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number385000241
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: