| Michael C Liddell Do Pllc | |
|
13105 Schavey Rd Ste 4 Dewitt MI 48820-9014 | |
| (517) 668-0555 | |
| (517) 668-0554 |
| Full Name | Michael C Liddell Do Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 13105 Schavey Rd Ste 4, Dewitt, Michigan |
| Authorized Official Name and Position | Michael Charles Liddell (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5176680555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C Liddell Do Pllc 13105 Schavey Rd Ste 4 Dewitt MI 48820-9014 Ph: (517) 668-0555 | Michael C Liddell Do Pllc 13105 Schavey Rd Ste 4 Dewitt MI 48820-9014 Ph: (517) 668-0555 |
| NPI Number | 1568787828 |
|---|---|
| Provider Enumeration Date | 03/30/2010 |
| Last Update Date | 03/30/2010 |
| Medicare PECOS PAC ID | 0143416776 |
|---|---|
| Medicare Enrollment ID | O20101122001122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568787828 | NPI | - | NPPES |
| 200000002295 | Other | MI | PHP |
| 5330080 | Other | MI | BCBS |
| P88692 | Other | MI | BCN |
| 4303894 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101011829 (Michigan) | Primary |
| Provider Name | Michael Charles Liddell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134239064 PECOS PAC ID: 1052507688 Enrollment ID: I20101122001141 |
Michigan Family Medicine And Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13811 Myrtle Dr, Dewitt, MI 48820 Phone: 989-400-2889 | |
University Of Michigan Health-sparrow Dewitt Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13191 Schavey Rd, Suite 3, Dewitt, MI 48820 Phone: 517-669-9109 Fax: 517-669-9839 | |
Janis M. Rygwelski Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 E Washington St, Suite G, Dewitt, MI 48820 Phone: 517-881-7750 Fax: 517-668-0755 | |
Delta Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12970 S Us Highway 27, Dewitt, MI 48820 Phone: 517-669-8345 Fax: 517-882-5822 |