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Dr. Jacob Arthur Livermore, MD
Diagnostic Radiology Physician in Ypsilanti, Michigan
NPI 1174649206

Jacob Arthur Livermore is a Diagnostic Radiology Physician based in Ypsilanti, MI and is specialized in Diagnostic Radiology. Jacob Arthur Livermore practices in Ypsilanti, MI and has the professional credentials of MD. The NPI Number for Jacob Arthur Livermore is 1174649206 and holds a License No. 4301083916 (Michigan).

The current practice location address for Jacob Arthur Livermore is 5333 Mcauley Dr, Ypsilanti, MI and can be reached out via phone at 734-712-8350 and via fax at 734-712-8351. You can also correspond with Jacob Arthur Livermore through the mailing address at 5333 MCAULEY DR, YPSILANTI, MI - 48197-1014 (mailing address contact number: 734-712-8350).

Location: 5333 Mcauley Dr, Ypsilanti, MI, 48197-1014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174649206
Provider Name
Jacob Arthur Livermore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5333 Mcauley Dr, Ypsilanti, MI, 48197-1014
Phone Number
734-712-8350
Fax Number
734-712-8351
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5333 Mcauley Dr
City
Ypsilanti
State
Michigan
Zip
48197-1014
Phone Number
734-712-8350
Fax Number
734-712-8351
person
Provider Business Mailing Address Details
Address
5333 Mcauley Dr
City
Ypsilanti
State
Michigan
Zip
48197-1014
Phone Number
734-712-8350
Fax Number
734-712-8351
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301083916 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301083916 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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