Individual
MICHAEL M LIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
23881
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112319000
—
MN
01
—
340002639
RAILROAD MEDICARE
MN
05
—
35243600
—
WI
05
—
ENROLLED
—
IA
Enumeration date
12/29/2005
Last updated
07/31/2008
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