Individual
JENN YU LIU
Active
Individual
JENN YU LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5101012517
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800056
PHP OF MID MI
MI
01
—
0870056
PHP FAMILY CARE
MI
01
—
180036069
RAILROAD MEDICARE
MI
01
—
180C36002
BCBSM
MI
01
—
1853302054
BLUE CARE NETWORK OF MI
MI
01
—
200000026818
PHP
MI
05
—
3488767
—
MI
Enumeration date
07/21/2005
Last updated
08/16/2023
Update your record
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