Individual
DR. MICHAEL W LIEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3121 N WEBB RD, SUITE 101, WICHITA, KS 67226-8119
(316) 261-3130
(316) 261-3275
Mailing address
3121 N WEBB RD, SUITE 101, WICHITA, KS 67226-8119
(316) 261-3130
(316) 261-3275
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
04-27463
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100313640B
—
KS
Enumeration date
07/22/2005
Last updated
08/03/2022
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