| Michael R. Liepman Md, Pllc | |
|
2615 Stadium Drive Elizabeth Upjohn Community Healing Center Kalamazoo MI 49008 | |
| (269) 343-1651 | |
| (269) 382-7078 |
| Full Name | Michael R. Liepman Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2615 Stadium Drive, Kalamazoo, Michigan |
| Authorized Official Name and Position | Michael Roger Liepman (PRINCIPAL OWNER) |
| Authorized Official Contact | 2693431651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R. Liepman Md, Pllc 10925 E Fg Ave Richland MI 49083-9627 Ph: (269) 598-9487 | Michael R. Liepman Md, Pllc 2615 Stadium Drive Elizabeth Upjohn Community Healing Center Kalamazoo MI 49008 Ph: (269) 343-1651 |
| NPI Number | 1205176674 |
|---|---|
| Provider Enumeration Date | 02/22/2013 |
| Last Update Date | 02/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205176674 | NPI | - | NPPES |
| 4184022 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301033951 (Michigan) | Primary |
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