Individual provider · Type 1 NPI

Robert Philip Lisak, MD

Neurology Physician · Detroit, MI

NPI number 1235176835 Active

Practice location

4201 St Antoine, Suite 8A & 8B
Detroit, MI 48201-2153

Fax (313) 745-4468

Mailing address

1560 E Maple Rd, Suite 400-CREDENTIALING
Troy, MI 48083-1138

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X4301051038 (MI)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1235176835

Robert Philip Lisak, MD's National Provider Identifier is 1235176835, issued on Jun 1, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Detroit, MI. The record was last updated on Oct 27, 2016.