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Individual
MR. MICHAEL J LIBERTI
Active
Individual
MR. MICHAEL J LIBERTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
761
MA
111N00000X
Chiropractor
Primary
CR1055
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043438
ANTHEM BCBS
ME
01
—
10903077
CAQH
—
05
—
131690099
—
ME
Enumeration date
09/07/2006
Last updated
08/18/2022
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