Individual
DR. JACOB ARTHUR LIVERMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5333 MCAULEY DR, SUITE 6016, YPSILANTI, MI 48197-1014
(734) 712-8350
(734) 712-8351
Mailing address
5333 MCAULEY DR, SUITE 6016, YPSILANTI, MI 48197-1014
(734) 712-8350
(734) 712-8351
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301083916
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301083916
MI
Other
Enumeration date
03/21/2007
Last updated
08/30/2013
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