DR. Matthew Liceralde Elloso M.D.

  • NPI 1447563150
According to our database, the NPI number for DR. Matthew Liceralde Elloso M.D. is 1447563150 and activated since 13 years ago. DR. Matthew Liceralde Elloso M.D. is an individual provider who specializes in Internal Medicine, and the primary practice location is 100 Michigan St Ne, Grand Rapids, MI 49503. You can also contact DR. Matthew Liceralde Elloso M.D. via telephone number is (616) 391-3139. Provider NPI information was last updated on 06/28/2021.

Recently Active NPIs

Overview of DR. Matthew Liceralde Elloso M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/22/2010
  • Last updated: 06/28/2021

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 4301096516
  • License State: MI

Provider Mailing Address

  • Address: 100 Michigan St Ne
    Mc 845
    Grand Rapids, MI 49503
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 100 Michigan St Ne
    Suite A721
    Grand Rapids, MI 49503
  • Phone: 616-391-3139
  • Fax: 616-391-3044

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 4301096516
  • License State: MI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Matthew Liceralde Elloso M.D.?
  • A: The npi number for DR. Matthew Liceralde Elloso M.D. is 1447563150.
  • Q: What are DR. Matthew Liceralde Elloso M.D.'s specialties?
  • A: DR. Matthew Liceralde Elloso M.D.'s specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for DR. Matthew Liceralde Elloso M.D.?
  • A: The medical license number for DR. Matthew Liceralde Elloso M.D. is 4301096516 and issued in MI in USA.
  • Q: Where is DR. Matthew Liceralde Elloso M.D. practice location?
  • A: DR. Matthew Liceralde Elloso M.D. is practicing at 100 Michigan St Ne, Grand Rapids, MI 49503.
  • Q: How to contact DR. Matthew Liceralde Elloso M.D.?
  • A: You can contact DR. Matthew Liceralde Elloso M.D. via 616-391-3139.