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LIBERTY PEDIATRICS PLLC NPI 1568633253


NPI Information

NPI: 1568633253
Provider Name: LIBERTY PEDIATRICS PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D0366316

Address:
3200 W LIBERTY RD
SUITE A
ANN ARBOR, MI
ZIP 48103
Phone: (734) 994-5858
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LIBERTY PEDIATRICS PLLC is a pediatrics in Ann Arbor, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LIBERTY PEDIATRICS PLLC NPI is 1568633253. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3200 W LIBERTY RD
SUITE A
ANN ARBOR, MI
ZIP 48103-746
Phone: (734) 994-5858
Fax: (734) 994-4322

The provider's authorized official is Andrew Jon Seiler .
The authorized official title is Member and has the following contact phone number (734) 994-5858.

The CLIA number assigned to this NPI record is 23D0366316 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 3/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics4301069944MICHIGANYes

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: 4/28/2024

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