Individual
TERRY C. LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 35TH ST, KENOSHA, WI 53140-1932
(262) 652-3500
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
41163
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32570700
—
WI
Enumeration date
07/24/2006
Last updated
10/19/2023
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