Provider Demographics
NPI:1497318547
Name:ASCLEPIUS CLINIC PLLC
Entity Type:Organization
Organization Name:ASCLEPIUS CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YONGMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-751-8432
Mailing Address - Street 1:32905 W 12 MILE RD STE 340
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3345
Mailing Address - Country:US
Mailing Address - Phone:248-893-6236
Mailing Address - Fax:248-893-6263
Practice Address - Street 1:32905 W 12 MILE RD STE 340
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3345
Practice Address - Country:US
Practice Address - Phone:248-893-6236
Practice Address - Fax:248-893-6263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-15
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty