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Individual
BRIAN PAUL LIVERMORE
Active
Individual
BRIAN PAUL LIVERMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MN27911
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-29567
MN MEDICA
MN
01
—
83095LI
MN BLUECROSS BLUESHIELD
MN
01
—
HP17897
MN HEALTHPARTNERS
MN
Enumeration date
06/05/2006
Last updated
07/13/2026
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