Individual provider · Type 1 NPI

Jacob Arthur Livermore, MD

Diagnostic Radiology Physician · Ypsilanti, MI

NPI number 1174649206 Active

Practice location

5333 Mcauley Dr, Suite 6016
Ypsilanti, MI 48197-1014

Fax (734) 712-8351

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X4301083916 (MI)
Diagnostic Radiology Physician Primary 2085R0202X4301083916 (MI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1174649206

Jacob Arthur Livermore, MD's National Provider Identifier is 1174649206, issued on Mar 21, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Ypsilanti, MI. The record was last updated on Aug 30, 2013.