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ERIC LIEDTKE, DO
DO
Surgery Physician
NPI: 1366624330IndividualAccepts Medicare
Specialties, Licenses & Credentials
Surgery PhysicianPrimary
Surgery
Code: 208600000X
20A12096(CA)OP60582410(WA)12168421-1204(UT)
CMS Specialties
PrimaryGENERAL SURGERY
Education
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Class of 2005
Contact & Hours
- Address
- 4650 HARRISON BLVD
OGDEN, UT 84403 - Phone
- (801) 475-3010
Quick Facts
- NPI
- 1366624330
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 21
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