Individual provider · Type 1 NPI

Michael K. Deiparine, MD

Vascular Surgery Physician · Liberty, MO

NPI number 1720124191 Active

Practice location

2521 Glenn Hendren Dr, Suite 112
Liberty, MO 64068-3388

Call (816) 781-5006 Map

Mailing address

7904 Raines Rd
Liberty, MO 64068-8585

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X108296 (MO)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1720124191

Michael K. Deiparine, MD's National Provider Identifier is 1720124191, issued on Jan 30, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Liberty, MO. The record was last updated on Jun 24, 2011.