Individual
DR. LISA J MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
(313) 554-1095
(313) 899-3560
Mailing address
559 W GRAND BLVD, DETROIT, MI 48216-2200
(313) 554-0485
(313) 228-0283
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301052024
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3223799
—
MI
Enumeration date
11/04/2005
Last updated
03/23/2023
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