Basic Information
| Provider Information | |||||||||
| NPI: | 1962760595 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LIAW | ||||||||
| FirstName: | ARON | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 MACK AVE STE 2 | ||||||||
| Address2: | |||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482012136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3134489006 | ||||||||
| FaxNumber: | 3134489973 | ||||||||
| Practice Location | |||||||||
| Address1: | 18100 OAKWOOD BLVD STE 300 | ||||||||
| Address2: | |||||||||
| City: | DEARBORN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481244085 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3132710430 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2012 | ||||||||
| LastUpdateDate: | 03/30/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 147785 | CA | N | Allopathic & Osteopathic Physicians | Urology | 208800000X | 86206 | GA | N | Allopathic & Osteopathic Physicians | Urology | 390200000X | OH | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208800000X | 4301503155 | MI | Y | Allopathic & Osteopathic Physicians | Urology |
No ID Information.