Provider Demographics
NPI:1437989613
Name:CHENG, ANNIE LI (PA-C)
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:LI
Last Name:CHENG
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4954 S RIDGESIDE CIR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9447
Mailing Address - Country:US
Mailing Address - Phone:734-369-1770
Mailing Address - Fax:
Practice Address - Street 1:2000 GREEN RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-1598
Practice Address - Country:US
Practice Address - Phone:336-653-4679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-03
Last Update Date:2024-12-09
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant