Individual
RANDY ALAN LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST STE 7B, DETROIT, MI 48201-2153
(313) 745-0233
(313) 993-0295
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301074561
MI
207RC0000X
Cardiovascular Disease Physician
4301074561
MI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
4301074561
MI
Other
Enumeration date
06/07/2006
Last updated
02/25/2022
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