Individual
JACKSON LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
661 S TRIMBLE RD, MANSFIELD, OH 44906-3437
(419) 774-0478
(419) 774-9887
Mailing address
661 S TRIMBLE RD, MANSFIELD, OH 44906-3437
(419) 774-0478
(419) 774-9887
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
87597
OH
Other
Enumeration date
05/12/2006
Last updated
02/01/2012
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