Individual
MICHAEL JOSEPH LISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 NW R D MIZE RD, SUITE 200, BLUE SPRINGS, MO 64014-2510
(816) 220-1117
(816) 228-2053
Mailing address
203 NW RD MIZE RD STE 200, BLUE SPRINGS, MO 64014
(816) 220-1117
(816) 228-2053
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
112445
MO
207RI0011X
Interventional Cardiology Physician
112445
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093735557
—
MO
01
—
P00853584
MEDICARE RAILROAD
MO
Enumeration date
07/20/2006
Last updated
04/15/2026
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