Provider Demographics
NPI:1285297143
Name:XU, JOYCE YUESHUO (MD, DMD)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:YUESHUO
Last Name:XU
Suffix:
Gender:F
Credentials:MD, DMD
Other - Prefix:
Other - First Name:YUESHUO
Other - Middle Name:
Other - Last Name:XU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 E MEDICAL CENTER DR
Mailing Address - Street 2:G1218 TOWSLEY, SPC 5222
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-5222
Mailing Address - Country:US
Mailing Address - Phone:734-232-6048
Mailing Address - Fax:
Practice Address - Street 1:1500 E MEDICAL CENTER DRIVE
Practice Address - Street 2:FLOOR 1, ROOM 1904, RECEPTION A
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-0312
Practice Address - Country:US
Practice Address - Phone:734-615-6095
Practice Address - Fax:734-764-3485
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301513576390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program