Randy Alan Lieberman MD

NPI 1679513543 - Internal Medicine - 207R00000X

NPI Details
NPI 1679513543
Gender Male
Enumeration Date 06/07/2006
Last Updated 12/11/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
4160 JOHN R ST
SUITE 817
DETROIT MI, 48201-2020, US
Phone (313) 993-2557
Fax (313) 993-0447
Business Location
4160 JOHN R ST
SUITE 817
DETROIT MI, 48201-2020, US
Phone (313) 993-2557
Fax (313) 993-0447
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301074561
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According to our database, Randy Alan Lieberman MD NPI is 1679513543, taxonomy code is 207R00000X and license number is 4301074561, license state is located at Michigan. Randy Alan Lieberman MD physically located at 4160 John R St, Detroit MI, 48201-2020. NPI Number Randy Alan Lieberman MD has the Individual type.

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1679513543 NPI number is provided on an as is basis without warranty of any kind. 1679513543 is maintained by the National Plan & Provider Enumeration System. The contents of Randy Alan Lieberman MD are for informational purposes only.