Individual
MARIA LIVIERATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 WATERFORD PKWY STE B, SAINT JOHNS, MI 48879-9631
(989) 534-2353
(989) 534-2352
Mailing address
1501 WATERFORD PKWY STE B, SAINT JOHNS, MI 48879-9631
(989) 534-2353
(989) 534-2352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301064240
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316028400
—
MI
Enumeration date
10/17/2006
Last updated
10/06/2023
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