Basic Information
Provider Information
NPI: 1134207327
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LIANG
FirstName: MEI-YING
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9200 W WISCONSIN AVE
Address2:  
City: MILWAUKEE
State: WI
PostalCode: 532263522
CountryCode: US
TelephoneNumber: 4148056100
FaxNumber: 4148056147
Practice Location
Address1: 9200 W WISCONSIN AVE
Address2:  
City: MILWAUKEE
State: WI
PostalCode: 532263522
CountryCode: US
TelephoneNumber: 4148056100
FaxNumber: 4148056147
Other Information
ProviderEnumerationDate: 11/02/2006
LastUpdateDate: 07/23/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X46358WIN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LP2900X46358-020WIY Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine

ID Information
IDTypeStateIssuerDescription
113420732705WI MEDICAID


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