MEDICARE: DR. ROBERT ADAM LIOTTA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	0101233156	VA
2	2085R0202X	Diagnostic Radiology Physician	4301098845	MI

General Provider Information

NPI Number	:	1114903549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ADAM LIOTTA M.D.

Provider Business Mailing Address
First Line	:	3621 S STATE ST
Second Line	:	700 KMS PLACE
City	:	ANN ARBOR
State	:	MI
Zip	:	48108
Country	:	US
Telephone Number	:	734-936-2047
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 E MEDICAL CENTER DR
Second Line	:	B1 FLOOR UNIVERSITY HOSPITAL RECP C
City	:	ANN ARBOR
State	:	MI
Zip	:	48109-5030
Country	:	US
Telephone Number	:	734-936-4566
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2005
Last Update Date	:	06/10/2011

Similar Medicare Providers

1417894767 — IMADH KHAN
Practice Location Address:

1500 E MEDICAL CENTER DRIVE , UH B1 502, SPC 5030
ANN ARBOR, MI
48109

Practice Phone: 734-615-4924
Practice Fax:

1053381079 — ALFRED NATHAN STANFORD MD
Practice Location Address:

1500 EAST MEDICAL CENTER DRIVE , B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI
48109-5030

Practice Phone: 734-936-4566
Practice Fax:

1962474163 — DR. JEFFREY ROBERT WESOLOWSKI MD, MHSA
Practice Location Address:

1500 EAST MEDICAL CENTER DR , B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI
48109-5030

Practice Phone: 734-936-4566
Practice Fax:

1932177524 — MARK D MCGREGOR PA
Practice Location Address:

1500 EAST MEDICAL CENTER DR , B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI
48109-5030

Practice Phone: 734-936-4566
Practice Fax:

1326099292 — DR. DEBORAH O JEFFRIES M.D.
Practice Location Address:

1500 EAST MEDICAL CENTER DR , B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI
48109-5030

Practice Phone: 734-936-4566
Practice Fax:

1841242583 — KIMBERLY ANN GARVER M.D.
Practice Location Address:

1500 EAST MEDICAL CENTER DR , B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI
48109-5030

Practice Phone: 734-936-4500
Practice Fax:

Directions to “ DR. ROBERT ADAM LIOTTA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.