Michael S Liebner in Logansport - Diagnostic Radiology

Michael S Liebner - NPI 1689601064

Michael S Liebner is a Diagnostic Radiology in Logansport, Indiana. Michael S Liebner practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Michael S Liebner is 1689601064. The last update date is 2007-10-23.

Michael S Liebner's current location address is 1201 Michigan Ave., #390, Logansport, Indiana. You can contact this provider via phone number 5747221313 and fax number 5747353058. The mailing address for Michael S Liebner is 1201 Michigan Ave., #390, Logansport, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael S Liebner
Address 1201 Michigan Ave., #390, Logansport, Indiana
Phone Number 5747221313
Fax Number 5747353058
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1689601064
Provider Enumeration Date 2006-06-28
Last Updated Date 2007-10-23

Provider Mailing Address Detail

Address 1201 Michigan Ave., #390
City Logansport
State Indiana (IN)
Post Code 469470
Phone Number 5747221313
Fax Number 5747353058

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 1028086
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CF3161 IN RAILROAD MEDICARE

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FAQs about Michael S Liebner

What is the unique identification code assigned to Michael S Liebner by the Centers for Medicare & Medicaid Services?

The Michael S Liebner has been issued the NPI (National Provider Identifier) 1689601064. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Michael S Liebner's physical address?

The Michael S Liebner is physically located at 1201 Michigan Ave., #390, in the city of Logansport, IN, with the postal code 469470.

What is the area of specialization for Michael S Liebner, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michael S Liebner is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services assign the 1689601064 to Michael S Liebner?

The Centers for Medicare & Medicaid Services assigned the 1689601064 to Michael S Liebner on 2006-06-28.

As of what date were the Michael S Liebner's details last updated?

The information pertaining to the Michael S Liebner, including its address, specialty, and other details, was most recently updated on 2007-10-23.

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