Healthcare Provider Details

I. General information

NPI: 1508887829
Provider Name (Legal Business Name): BEI FANG LIU MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 03/26/2021
Certification Date: 03/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 MACKINAW RD SUITE 4200
SAGINAW MI
48604-9515
US

IV. Provider business mailing address

5400 MACKINAW RD SUITE 4200
SAGINAW MI
48604-9515
US

V. Phone/Fax

Practice location:
  • Phone: 989-791-2330
  • Fax: 989-791-2329
Mailing address:
  • Phone: 989-791-2330
  • Fax: 989-791-2329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number4301091752
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: