Audrey Liston, DO
Family Medicine in Hancock, MI. Individual provider (NPI-1).
NPI number1346354461
StatusActive
Last updated in NPPESJan 16, 2019
Details
- NPI
- 1346354461
- Entity type
- Individual (NPI-1)
- Name
- Audrey Liston
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2006
- Last updated
- Jan 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5101012074 | MI | Yes |
Practice location
787 Market St Ste 9Hancock, MI 49930
Phone 906-482-7762
Mailing address
325 E H StIron Mountain, MI 49801-4760
Phone 906-774-3300
Other practice locations
600 Macinnes Dr.
Houghton, MI 49931
Houghton, MI 49931
Phone 906-483-1860 · Fax 906-483-1866
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All 12 Family Medicine Physician providers in Hancock · All 326 providers in Hancock
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