Individual
BENJAMIN LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26645 RIALTO ST, MADISON HEIGHTS, MI 48071-3738
(248) 842-6995
Mailing address
26645 RIALTO ST, MADISON HEIGHTS, MI 48071-3738
(248) 842-6995
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704313260
MI
Other
Enumeration date
07/10/2021
Last updated
07/16/2024
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