Individual
JEANNETTE MAE LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1026 A AVE NE STE 5000, CEDAR RAPIDS, IA 52402-5036
(319) 369-7085
(319) 368-5770
Mailing address
1026 A AVE NE STE 5000, CEDAR RAPIDS, IA 52402-5036
(319) 369-7085
(319) 368-5770
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
254458
MA
207T00000X
Neurological Surgery Physician
A96830
CA
207T00000X
Neurological Surgery Physician
L5436
TX
207T00000X
Neurological Surgery Physician
Primary
MD-44453
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211416702
—
TX
Enumeration date
02/28/2006
Last updated
07/21/2022
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