Individual
ANDREW J LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. F.A.C.S
Contact information
Practice address
2060 EAST PARIS AVE SE, #110, GRAND RAPIDS, MI 49546
(616) 464-4665
(616) 957-1845
Mailing address
2060 EAST PARIS AVE SE, #110, GRAND RAPIDS, MI 49546
(616) 464-4665
(616) 957-1845
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
4301061751
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
4301061751
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4694901
—
MI
Enumeration date
05/10/2006
Last updated
02/13/2013
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