Individual
DR. JAMES ROBERT TISIUS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
(313) 436-2061
Mailing address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
(313) 436-2061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301101774
MI
Other
Enumeration date
08/03/2012
Last updated
06/23/2016
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