Individual
DR. ROBERT THEODORE TISHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 DUKE HEALTH CARY PL STE 120, CARY, NC 27519-6760
(919) 858-1203
(919) 385-9500
Mailing address
3475 ERWIN RD, DURHAM, NC 27705-0005
(919) 660-1949
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2023-01074
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2023-01074
NC
Other
Enumeration date
06/21/2017
Last updated
10/24/2024
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