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Audrey Liston, DO
Family Medicine Physician in Hancock, Michigan
NPI 1346354461

Audrey Liston is a Family Medicine Physician based in Iron Mountain, MI. Audrey Liston practices in Hancock, MI and has the professional credentials of DO. The NPI Number for Audrey Liston is 1346354461 and holds a License No. 5101012074 (Michigan).

The current practice location address for Audrey Liston is 787 Market St Ste 9, Hancock, MI and can be reached out via phone at 906-482-7762.

Location: 787 Market St Ste 9, Hancock, MI, 49801-4760
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Provider Profile Details
NPI Number
1346354461
Provider Name
Audrey Liston
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
787 Market St Ste 9, Hancock, MI, 49801-4760
Phone Number
906-482-7762
Fax Number
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0C16002 01 MI MEDICARE GROUP
AL012074 01 MI BLUE CROSS STATE ID
114387160 05 MI
0829560001 01 MI MEDICARE DME
institution
Provider Business Practice Location Address Details
Address
787 Market St Ste 9
City
State
Zip
49930
Phone Number
906-482-7762
Fax Number
person
Provider Business Mailing Address Details
Address
787 Market St Ste 9
City
State
Zip
49930
Phone Number
906-482-7762
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
5101012074 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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