Individual provider · Type 1 NPI

Nanaki Tisack

Pulmonary Disease Physician · Royal Oak, MI

NPI number 1124636378 Active

Practice location

3535 W 13 Mile Rd Ste 344
Royal Oak, MI 48073-6770

Call (248) 551-0497 Map

Mailing address

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician 207RC0200X4351049150 (MI)
Pulmonary Disease Physician Primary 207RP1001X4351049150 (MI)

Pulmonary Disease Physician: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

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About NPI 1124636378

Nanaki Tisack's National Provider Identifier is 1124636378, issued on Jul 14, 2020. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in Royal Oak, MI. The record was last updated on May 21, 2025.