Provider Type Icon

MICHAEL C LIDDELL DO PLLC NPI 1568787828


NPI Information

NPI: 1568787828
Provider Name: MICHAEL C LIDDELL DO PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
13105 SCHAVEY RD STE 4
DEWITT, MI
ZIP 48820
Phone: (517) 668-0555
Get Directions

MICHAEL C LIDDELL DO PLLC is a family medicine in Dewitt, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MICHAEL C LIDDELL DO PLLC NPI is 1568787828. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13105 SCHAVEY RD STE 4
DEWITT, MI
ZIP 48820-014
Phone: (517) 668-0555
Fax: (517) 668-0554

The provider's authorized official is Michael Charles Liddell .
The authorized official title is Physician/owner and has the following contact phone number (517) 668-0555.

The enumeration date for this NPI number is 3/30/2010 and was last updated on 3/30/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine5101011829MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G16884MEDICARE UPINMICHIGAN
2200000002295OTHERMICHIGANPHP
3ON28670MEDICARE PINMICHIGAN
4P88692OTHERMICHIGANBCN
54303894MEDICAIDMICHIGAN
65330080OTHERMICHIGANBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.