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Dr. Zachary Jonathan Liss, MD
Urology Physician in Saint Clair Shores, Michigan
NPI 1457592990

Zachary Jonathan Liss is a Urology Physician based in Saint Clair Shores, MI. Zachary Jonathan Liss practices in Saint Clair Shores, MI and has the professional credentials of MD. The NPI Number for Zachary Jonathan Liss is 1457592990 and holds a License No. 4301092867 (Michigan).

The current practice location address for Zachary Jonathan Liss is 20952 E 12 Mile Rd, Saint Clair Shores, MI and can be reached out via phone at 586-771-4820.

Location: 20952 E 12 Mile Rd, Saint Clair Shores, MI, 48081-3200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457592990
Provider Name
Zachary Jonathan Liss
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20952 E 12 Mile Rd, Saint Clair Shores, MI, 48081-3200
Phone Number
586-771-4820
Fax Number
Provider Enumeration Date
03/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CB9133 01 MI RAILROAD MEDICARE
340E062730 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
20952 E 12 Mile Rd
City
Saint Clair Shores
State
Michigan
Zip
48081-3200
Phone Number
586-771-4820
Fax Number
person
Provider Business Mailing Address Details
Address
20952 E 12 Mile Rd
City
Saint Clair Shores
State
Michigan
Zip
48081-3200
Phone Number
586-771-4820
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
4301092867 (Michigan)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
Pediatric Urology
Taxonomy
2088P0231X
License No.
4301092867 (Michigan)
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
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