Individual
DR. MAYRON LICHTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
601 JOHN ST STE M-206C, KALAMAZOO, MI 49007
(855) 618-2676
(269) 488-8284
Mailing address
601 JOHN ST, SUITE M-230, KALAMAZOO, MI 49007-5341
(269) 341-7733
(269) 349-6446
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101018690
MI
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
5101018690
MI
Other
Enumeration date
05/21/2010
Last updated
11/27/2023
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