Individual
AIWEN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
909 ELMROW DR, FORT WAYNE, IN 46806-3173
(260) 266-0780
(260) 266-0785
Mailing address
909 ELMROW DR, FORT WAYNE, IN 46806-3173
(260) 266-0780
(260) 425-4935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01084174A
IN
Other
Enumeration date
04/11/2017
Last updated
01/04/2025
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