Individual
DR. CHUNMING LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 W BARAGA AVE, MARQUETTE, MI 49855-4550
(800) 288-8325
Mailing address
420 W MAGNETIC ST, MARQUETTE, MI 49855-2711
(906) 228-9440
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301087066
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34836100
—
WI
01
—
4831072
HEALTHPLAN OF MI
MI
05
—
4831072
—
MI
01
—
P00299648
RAILROAD MEDICARE
MI
Enumeration date
11/30/2006
Last updated
06/12/2019
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