Individual
LISA TABISZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5000
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002507
MI
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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