Individual
DIANA C LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 39TH AVE NE, MINNEAPOLIS, MN 55421-4379
(612) 706-2900
Mailing address
2600 39TH AVE NE, MINNEAPOLIS, MN 55421-4379
(612) 706-2900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39130
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
977013500
—
MN
Enumeration date
10/16/2006
Last updated
07/13/2007
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