Taras Lisowsky is a Family Medicine in Warren, Michigan. Taras Lisowsky practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Taras Lisowsky is 1710961990. The last update date is 2022-11-08.
Taras Lisowsky's current location address is 11300 E 13 Mile Rd Ste 1, Warren, Michigan. You can contact this provider via phone number 5867776170 and fax number 5867776582. The mailing address for Taras Lisowsky is 11300 E 13 Mile Rd Ste 1, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Taras Lisowsky |
|---|---|
| Address | 11300 E 13 Mile Rd Ste 1, Warren, Michigan |
| Phone Number | 5867776170 |
| Fax Number | 5867776582 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1710961990 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2022-11-08 |
Provider Mailing Address Detail
| Address | 11300 E 13 Mile Rd Ste 1 |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480932500 |
| Phone Number | 5867776170 |
| Fax Number | 5867776582 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101014940 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700H217350 | MI | BLUE SHIELD | |
| 1710961990 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Taras Lisowsky by the Centers for Medicare & Medicaid Services?
The Taras Lisowsky has been issued the NPI (National Provider Identifier) 1710961990 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Taras Lisowsky?
The Taras Lisowsky is situated at 11300 E 13 Mile Rd Ste 1, in the city of Warren, state of MI, with the zip code 480932500.
What is the Taras Lisowsky's area of specialization and corresponding taxonomy classification?
The Taras Lisowsky's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did the Taras Lisowsky receive its 1710961990?
The Taras Lisowsky was issued its 1710961990 on 2005-12-01, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Taras Lisowsky, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Taras Lisowsky, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-11-08.
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