MEDICARE: DR. LIANA MEFFERT 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
1	207P00000X	Emergency Medicine Physician	1265179915	WI

General Provider Information

NPI Number	:	1265179915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LIANA MEFFERT MD

Provider Business Mailing Address
First Line	:	1969 W HART RD
Second Line	:
City	:	BELOIT
State	:	WI
Zip	:	53511-2230
Country	:	US
Telephone Number	:	707-338-7427
Fax Number	:

Provider Business Practice Location Address
First Line	:	1969 W HART RD
Second Line	:
City	:	BELOIT
State	:	WI
Zip	:	53511-2230
Country	:	US
Telephone Number	:	608-364-5011
Fax Number	:

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

Provider Enumeration Date	:	05/15/2022
Last Update Date	:	03/16/2026

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