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Individual
WESLEY LIAO
Active
Individual
WESLEY LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37736
SC
208600000X
Surgery Physician
T2609
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377363
—
SC
01
—
SC5745
MEDICARE
SC
Enumeration date
07/03/2007
Last updated
06/02/2021
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