Michael Charles Liddell in Dewitt - Family Medicine
Michael Charles Liddell - NPI 1134239064
Michael Charles Liddell is a Family Medicine in Dewitt, Michigan. Michael Charles Liddell practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael Charles Liddell is 1134239064. The last update date is 2007-07-08.
Michael Charles Liddell's current location address is 13105 Schavey Rd Ste 4, Dewitt, Michigan. You can contact this provider via phone number 5176680555 and fax number 5176680554. The mailing address for Michael Charles Liddell is 13105 Schavey Rd Ste 4, Dewitt, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Charles Liddell |
|---|---|
| Address | 13105 Schavey Rd Ste 4, Dewitt, Michigan |
| Phone Number | 5176680555 |
| Fax Number | 5176680554 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1134239064 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13105 Schavey Rd Ste 4 |
|---|---|
| City | Dewitt |
| State | Michigan (MI) |
| Post Code | 488209014 |
| Phone Number | 5176680555 |
| Fax Number | 5176680554 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101011829 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 170374 | MI | PHP FAMILY CARE | |
| 4303894 | MI | -- | |
| 5330080 | MI | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Michael Charles Liddell by the Centers for Medicare & Medicaid Services?
The Michael Charles Liddell has been assigned the NPI (National Provider Identifier) 1134239064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Michael Charles Liddell's facilities are geographically located?
The facilities of Michael Charles Liddell are physically situated at the following location: 13105 Schavey Rd Ste 4, Dewitt, MI, 488209014.
What is Michael Charles Liddell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael Charles Liddell is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
When did Michael Charles Liddell receive its 1134239064 assignment?
The Michael Charles Liddell was assigned its 1134239064 on 2006-08-30, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Michael Charles Liddell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Charles Liddell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.