Individual
MARK JOHN TELISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35000 KAISER CT, WILLOUGHBY, OH 44094-3382
(440) 269-4600
Mailing address
35000 KAISER CT, WILLOUGHBY, OH 44094-3382
(440) 269-4600
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
279674
OH
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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