Healthcare Provider Details

I. General information

NPI: 1548069362
Provider Name (Legal Business Name): YEQIAN CUI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA CUI DO

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5333 MCAULEY DR RM 2115
YPSILANTI MI
48197-1097
US

IV. Provider business mailing address

5333 MCAULEY DR RM 2115
YPSILANTI MI
48197-1097
US

V. Phone/Fax

Practice location:
  • Phone: 734-712-3971
  • Fax:
Mailing address:
  • Phone: 734-712-3971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number5151017741
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: