Individual
DR. KEVIN LIBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
32987 WOODWARD AVE, ROYAL OAK, MI 48073-0958
(248) 549-9080
Mailing address
32987 WOODWARD AVE, ROYAL OAK, MI 48073-0958
(248) 549-9080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004987
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901004987
OPTOMETRY LICENSE
MI
01
—
5330001230
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
06/24/2016
Last updated
06/24/2016
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