| Maria Livieratos Md Pllc | |
|
5799 S Main St #1472 Clarkston MI 48347-9907 | |
| (248) 620-1275 | |
| Not Available |
| Full Name | Maria Livieratos Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5799 S Main St, Clarkston, Michigan |
| Authorized Official Name and Position | Maria Livieratos (SINGLE MEMBER) |
| Authorized Official Contact | 2486201275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Livieratos Md Pllc 5799 S. Main St. #1472 Clarkston MI 48347-1472 Ph: (248) 620-1275 | Maria Livieratos Md Pllc 5799 S Main St #1472 Clarkston MI 48347-9907 Ph: (248) 620-1275 |
| NPI Number | 1952504987 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 05/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952504987 | NPI | - | NPPES |
| 4301064240 | Other | MI | BOARD OF MEDICINE PHYSICI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301064240 (Michigan) | Primary |
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