Individual
DR. TRAVIS ANDREW LIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MICHIGAN ST NE MC 49, GRAND RAPIDS, MI 49503-2560
(616) 391-8879
Mailing address
578 CEDAR RIDGE DR NW APT 3B, GRAND RAPIDS, MI 49544-6983
(616) 821-4344
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301083941
MI
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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