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Contact Information

STEPHANIE LIU, DO
5225 23RD AVE S
FARGO, ND58104-7927
 Phone: 701-417-2575
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ZD0900X 22 Physician/Pathology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for STEPHANIE LIU · (Female)

NPI Number 1790104438
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/09/2014
Last updated 10/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 16486
  • ND License # PT16486
Hospital affiliation(s)
  • SANFORD BEMIDJI MEDICAL CENTER - (Acute Care)
    1300 ANNE ST NW
    BEMIDJI, MN 56601
  • SANFORD MEDICAL CENTER FARGO - (Acute Care)
    801 BROADWAY NORTH
    FARGO, ND 58122
  • SANFORD MEDICAL CENTER THIEF RIVER FALLS - (Critical Access)
    120 LABREE AVENUE SOUTH
    THIEF RIVER FALLS, MN 56701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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