ROBERT P LISAK MD

UNIVERSITY PHYSICIAN GROUP

Dr ROBERT P LISAK MD is a male medical professional, specializing in Neurology. He graduated in 1965 from Columbia University College Of Physicians And Surgeons.

Contact

UNIVERSITY PHYSICIAN GROUP

4201 ST ANTOINE
8B
DETROIT
MI
482012153

Tel: 3137454275

ROBERT P LISAK MD Information

Npi 1235176835
Pac Id 6800795089
Professional Enrollment Id I20060711000103
Last Name LISAK
First Name ROBERT
Middle Name P
Suffix
Gender M
Credential MD
Medical School Name COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year 1965
Primary Specialty NEUROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UNIVERSITY PHYSICIAN GROUP
Group Practice Pac Id 8628087681
Number Of Group Practice Members 354
Line 1 Street Address 4201 ST ANTOINE
Line 2 Street Address 8B
Marker Of Address Line 2 Suppression
City DETROIT
State MI
Zip Code 482012153
Phone Number 3137454275
Hospital Affiliation Ccn 1 230104
Hospital Affiliation Lbn 1 HARPER UNIVERSITY HOSPITAL
Hospital Affiliation Ccn 2 230024
Hospital Affiliation Lbn 2 SINAI-GRACE HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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