Individual
DR. NANCY WENCHIN LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5250 FAR HILLS AVE, SUITE 250, KETTERING, OH 45429-2382
(937) 262-7932
(937) 262-7418
Mailing address
5250 FAR HILLS AVE, SUITE 250, KETTERING, OH 45429-2382
(937) 262-7932
(937) 262-7418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35073071L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000234839
ANTHEM
OH
01
—
331006556001
MEDICAL MUTUAL
OH
Enumeration date
08/02/2005
Last updated
02/17/2016
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