Individual
ALLEN QINGJUN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-7701
Mailing address
8701 BIG CYPRESS CIR, SYLVANIA, OH 43560-8919
(419) 829-3651
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-083649-L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000318183
ANTHEM BCBS
OH
05
—
2500476
—
OH
Enumeration date
12/27/2005
Last updated
07/08/2007
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