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Contact Information

TERRY C LIU, MD
1020 35TH ST
KENOSHA, WI53140-1932
 Phone: 262-652-3500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for TERRY C LIU · (Male)

NPI # 1841212115
Status Active
Credentials MD
Entity Individual
Enumeration date 07/24/2006
Last updated 10/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 41163
  • WI Medicaid 32570700
Hospital affiliation(s)
  • AURORA MED CTR KENOSHA - (Acute Care)
    10400 75TH ST
    KENOSHA, WI 53142
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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