Individual
JENN YU LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5100 MARSH RD STE H, OKEMOS, MI 48864-1195
(517) 349-0150
(517) 349-0157
Mailing address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-0316
(517) 337-1779
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
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