Individual
VINCENT LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2274
(319) 356-8317
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2274
(319) 356-8317
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
36288
IA
207ZD0900X
Dermatopathology (Pathology) Physician
36288
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469031
—
IA
05
—
1469031
—
IA
01
—
39473
WELLMARK BCBS
IA
Enumeration date
11/08/2005
Last updated
12/12/2007
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