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Individual
MR. RAINER B. LIEBERT
Active
Individual
MR. RAINER B. LIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501009158
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650C912400
BLUE CROSS
MI
Enumeration date
04/06/2006
Last updated
12/09/2008
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