Individual
MICAH J LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13642 RIVERWAY DR, UNIT C, CHESTERFIELD, MO 63017-2656
(908) 938-8323
Mailing address
13642 RIVERWAY DR, UNIT C, CHESTERFIELD, MO 63017-2656
(908) 938-8323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2011026323
MO
111N00000X
Chiropractor
Primary
38MC00695400
NJ
Other
Enumeration date
08/16/2011
Last updated
10/14/2011
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