Individual
JESSICA SUZANNE KIM LIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
(952) 993-8516
Mailing address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
(952) 993-8516
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
67479
MN
207W00000X
Ophthalmology Physician
R76310
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568825495
—
WI
Enumeration date
03/29/2016
Last updated
07/09/2020
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