Individual
YONGMIN LIU
Active
Individual
YONGMIN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
4301068183
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301068183
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301068183
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023759
MIDWEST HEALTH PLAN
MI
01
—
144912
GREAT LAKES HEALTH PLAN
MI
01
—
250H22820
BCBSM/BCN
MI
01
—
4477536
AETNA
MI
05
—
4682428
—
MI
01
—
50843
OMNICARE HEALTH PLAN
MI
01
—
H71300
HEALTH ALLIANE PLANS
MI
Enumeration date
04/18/2006
Last updated
10/22/2020
Update your record
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