Individual
LIANG WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3525 E LOUISE DR STE 100, MERIDIAN, ID 83642-6303
(208) 999-0356
Mailing address
3525 E LOUISE DR STE 100, MERIDIAN, ID 83642-6303
(208) 999-0356
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.094784
OH
207RN0300X
Nephrology Physician
Primary
M-11883
ID
207RN0300X
Nephrology Physician
MD160974
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073776258
—
ID
05
—
M-11883
—
ID
Enumeration date
07/08/2008
Last updated
08/20/2024
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