Michael C Liddell DO PLLC
Family Medicine in Dewitt, MI. Organization (NPI-2).
NPI number1568787828
StatusActive
Last updated in NPPESMar 30, 2010
Details
- NPI
- 1568787828
- Entity type
- Organization (NPI-2)
- Legal business name
- Michael C Liddell DO PLLC
- Organization subpart
- No
- Enumeration date
- Mar 30, 2010
- Last updated
- Mar 30, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5101011829 | MI | Yes |
Practice location
13105 Schavey Rd Ste 4Dewitt, MI 48820-9014
Phone 517-668-0555 · Fax 517-668-0554
Mailing address
13105 Schavey Rd Ste 4Dewitt, MI 48820-9014
Phone 517-668-0555 · Fax 517-668-0554
Authorized official
Michael Charles Liddell
Physician/Owner
5176680555
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All 14 Family Medicine Physician providers in Dewitt · All 234 providers in Dewitt
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