Individual
MICHAEL R LISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2018 CLINCH AVENUE SOUTH TOWER 2ND FLOOR, KNOXVILLE, TN 37916
(865) 522-0420
(865) 246-7564
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
MD31697
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514668
—
TN
05
—
64013873
—
KY
Enumeration date
10/25/2006
Last updated
02/05/2025
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