Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 4301099111 | MI |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 243174 | MA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 4301099111 | MI |
NPI | 1932306404 |
---|---|
Provider Name | Dr. Gertrude Yingyu Li |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-4241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2007 |
Last Update Date | 13/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
52276B | (02) | NC |