Individual
EDWARD LISCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1174 W MICHIGAN AVE, MARSHALL, MI 49068-1497
(269) 781-9867
(269) 781-9126
Mailing address
111 S HAMILTON ST, MARSHALL, MI 49068-1537
(269) 781-9867
(269) 781-9126
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601001946
MI
Other
Enumeration date
05/24/2006
Last updated
06/12/2015
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