Individual
VIC LIENGSWANGWONG
Active
Individual
VIC LIENGSWANGWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
34883
MN
2085R0001X
Radiation Oncology Physician
Primary
63950-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095514100
—
MN
01
—
1027665
PREFERRED ONE
MN
01
—
1296554
AMERICA'S PPO
MN
01
—
151702
UCARE MN
MN
01
—
2400058
MEDICA
MN
05
—
275404
—
AL
05
—
34075000
—
WI
01
—
69B76LI
BLUE CROSS BLUE SHIELD MN
MN
01
—
HP32879
HEALTHPARTNERS
MN
Enumeration date
03/14/2006
Last updated
03/11/2022
Update your record
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