David Michael Liscow in South Haven - Family Medicine
David Michael Liscow - NPI 1689786154
David Michael Liscow is a Family Medicine in South Haven, Michigan. David Michael Liscow practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for David Michael Liscow is 1689786154. The last update date is 2020-12-01.
David Michael Liscow's current location address is 930 Blue Star Hwy, South Haven, Michigan. You can contact this provider via phone number 2696371115 and fax number 2696391314. The mailing address for David Michael Liscow is 930 Blue Star Hwy, South Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Michael Liscow |
|---|---|
| Address | 930 Blue Star Hwy, South Haven, Michigan |
| Phone Number | 2696371115 |
| Fax Number | 2696391314 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1689786154 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2020-12-01 |
Provider Mailing Address Detail
| Address | 930 Blue Star Hwy |
|---|---|
| City | South Haven |
| State | Michigan (MI) |
| Post Code | 490907758 |
| Phone Number | 2696371115 |
| Fax Number | 2696391314 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301048560 |
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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 |
|---|---|---|---|
| 080H06004 | MI | BCBSM | |
| 80027374 | MI | RR MEDICARE | |
| 1656193 | MI | -- | |
| 131169 | MI | PHP/IBA | |
| P53524 | MI | BCN | |
| 5468088 | MI | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Michael Liscow by the Centers for Medicare & Medicaid Services?
The David Michael Liscow has been issued the NPI (National Provider Identifier) 1689786154 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where David Michael Liscow is located?
The David Michael Liscow is situated at the following address: 930 Blue Star Hwy, South Haven, MI, 490907758.
What is David Michael Liscow's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Michael Liscow's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
When did David Michael Liscow receive its 1689786154 assignment?
The David Michael Liscow was assigned its 1689786154 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding David Michael Liscow, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Michael Liscow, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-12-01.
NPI Number: 1376546309
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