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Individual

MICHAEL STEVEN TELISAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
202 10TH ST SE, SUITE 200, CEDAR RAPIDS, IA 52403-2414
(319) 399-2022
(319) 399-2014
Mailing address
202 10TH ST SE, SUITE 200, CEDAR RAPIDS, IA 52403-2414
(319) 399-2022
(319) 399-2014

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
53225
WI
207Y00000X
Otolaryngology Physician
Primary
R7303
IA

Other

Enumeration date
05/22/2007
Last updated
03/07/2016
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