Individual
MICHAEL LISHNEVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
479 CRESTWOOD AVE, WADSWORTH, OH 44281
(330) 336-5503
Mailing address
479 CRESTWOOD AVE, WADSWORTH, OH 44281
(330) 336-5503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.051269
OH
207R00000X
Internal Medicine Physician
4301046676
MI
Other
Enumeration date
10/04/2006
Last updated
10/22/2014
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