Individual
KRISTEN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8576
Mailing address
229 PINNACLE DR, ROCK SPRINGS, WY 82901-7910
(507) 382-5100
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/29/2021
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