Individual
JAN TSE LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3337 BRITTON RD, PERRY, MI 48872
(517) 625-3004
(517) 625-5001
Mailing address
3337 BRITTON RD, PERRY, MI 48872-9706
(517) 625-3004
(517) 625-5001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301107691
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164805685
—
MI
Enumeration date
07/01/2015
Last updated
03/26/2019
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