Michael C Liddell Do Pllc
Michael C Liddell Do Pllc is a healthcare organization registered as Family Medicine Physician in Dewitt, MI, holding Type 2 (organization) NPI 1568787828 since 2010. The authorized official on file is Michael Liddell, Physician/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1568787828 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Michael C Liddell Do Pllc |
| Practice address | 13105 SCHAVEY RD STE 4, Dewitt, MI, 48820 |
| Phone | 5176680555 |
| Fax | 5176680554 |
| Enumeration date | 2010-03-30 |
| Last updated in NPPES | 2010-03-30 |
Authorized official
| Name | Michael Liddell |
|---|---|
| Title | Physician/Owner |
| Phone | 5176680555 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | 5101011829 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200000002295 | Other | MI | PHP |
| 5330080 | Other | MI | BCBS |
| P88692 | Other | MI | BCN |
| 4303894 | Medicaid | MI | — |
Copy-ready billing details
Provider: Michael C Liddell Do Pllc NPI: 1568787828 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 13105 SCHAVEY RD STE 4, Dewitt, MI, 48820
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134239064 | Michael Liddell | Individual | Family Medicine Physician | Dewitt, MI |
Verify this record
Cross-check NPI 1568787828 against the authoritative CMS record: view Michael C Liddell Do Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Michael C Liddell Do Pllc?
Who is the authorized official for Michael C Liddell Do Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-03-30.