Individual
JOHN A LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4401 N CAMPUS RIDGE DR, SUITE B2200, MIDLAND, MI 48640-6112
(989) 837-9400
Mailing address
4401 N CAMPUS RIDGE DR, SUITE B2200, MIDLAND, MI 48640-6112
(989) 837-9400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5315016828
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912995762
—
MI
05
—
4615318
—
MI
Enumeration date
10/06/2005
Last updated
09/07/2012
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