Individual
MICHAEL J LISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14300 E 138TH STE B, FISHERS, IN 46037-0051
(317) 773-4301
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(800) 622-6575
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01043981
IN
207L00000X
Anesthesiology Physician
Primary
01043981A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200191250
—
IN
01
—
Q00321773
RAILROAD PTAN
IN
Enumeration date
07/13/2006
Last updated
12/11/2025
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