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Dr. Taras Lisowsky, DO
Family Medicine Physician in Warren, Michigan
NPI 1710961990

Taras Lisowsky is a Family Medicine Physician based in Warren, MI. Taras Lisowsky practices in Warren, MI and has the professional credentials of DO. The NPI Number for Taras Lisowsky is 1710961990 and holds a License No. 5101014940 (Michigan).

The current practice location address for Taras Lisowsky is 11300 E 13 Mile Rd Ste 1, Warren, MI and can be reached out via phone at 586-777-6170 and via fax at 586-777-6582.

Location: 11300 E 13 Mile Rd Ste 1, Warren, MI, 48093-2500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710961990
Provider Name
Taras Lisowsky
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
11300 E 13 Mile Rd Ste 1, Warren, MI, 48093-2500
Phone Number
586-777-6170
Fax Number
586-777-6582
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
700H217350 01 MI BLUE SHIELD
1710961990 05 MI
institution
Provider Business Practice Location Address Details
Address
11300 E 13 Mile Rd Ste 1
City
Warren
State
Michigan
Zip
48093-2500
Phone Number
586-777-6170
Fax Number
586-777-6582
person
Provider Business Mailing Address Details
Address
11300 E 13 Mile Rd Ste 1
City
Warren
State
Michigan
Zip
48093-2500
Phone Number
586-777-6170
Fax Number
586-777-6582
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101014940 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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