Individual
JIE QIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34815 W MICHIGAN AVE, WAYNE, MI 48184-1799
(734) 721-4739
Mailing address
17366 HILLTOP VIEW DR, NORTHVILLE, MI 48168-1878
(313) 294-2941
(313) 294-0437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704240297
MI
Other
Enumeration date
08/05/2014
Last updated
07/07/2020
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