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Jordan Bistafa Liu, MD
Student in an Organized Health Care Education/Training Program in Toledo, Ohio
NPI 1841041720

Jordan Bistafa Liu is a Student in an Organized Health Care Education/Training Program based in Toledo, OH. Jordan Bistafa Liu practices in Toledo, OH and has the professional credentials of MD. The NPI Number for Jordan Bistafa Liu is 1841041720 and holds a License No. (Ohio).

The current practice location address for Jordan Bistafa Liu is 3333 Glendale Ave, Toledo, OH and can be reached out via phone at 419-383-5555 and via fax at 419-383-3113.

Location: 3333 Glendale Ave, Toledo, OH, 43614-2426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841041720
Provider Name
Jordan Bistafa Liu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3333 Glendale Ave, Toledo, OH, 43614-2426
Phone Number
419-383-5555
Fax Number
419-383-3113
Provider Enumeration Date
03/29/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3333 Glendale Ave
City
Toledo
State
Ohio
Zip
43614-2426
Phone Number
419-383-5555
Fax Number
419-383-3113
person
Provider Business Mailing Address Details
Address
3333 Glendale Ave
City
Toledo
State
Ohio
Zip
43614-2426
Phone Number
419-383-5555
Fax Number
419-383-3113
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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