Individual
PAOLO E. DI LIDDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
14500 HALL RD, STERLING HEIGHTS, MI 48313-1229
(586) 247-3764
(586) 247-2673
Mailing address
14500 HALL RD, STERLING HEIGHTS, MI 48313-1229
(586) 247-3764
(586) 247-2673
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901001902
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001902
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
439297413
—
MI
01
—
480H280180
BLUE CROSS-BLUE CROSS
—
01
—
PD001902
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
08/14/2006
Last updated
11/07/2023
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