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NPI Code Detail

MEDICARE: DR. MICHAEL W LIEVENS MD

MEDICARE:  DR. MICHAEL W LIEVENS  MD
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
1207RG0100XGastroenterology Physician04-27463KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225038029
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL W LIEVENS MD
Provider Business Mailing Address
First Line : 3121 N WEBB RD
Second Line : SUITE 101
City : WICHITA
State : KS
Zip : 67226-8119
Country : US
Telephone Number : 316-261-3130
Fax Number : 316-261-3275
Provider Business Practice Location Address
First Line : 3121 N WEBB RD
Second Line : SUITE 101
City : WICHITA
State : KS
Zip : 67226-8119
Country : US
Telephone Number : 316-261-3130
Fax Number : 316-261-3275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 08/03/2022

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Directions to “ DR. MICHAEL W LIEVENS MD” Practice Location

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