NANAKI TISACK

ROYAL OAK, MI
NPI1124636378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: MI  4351049150)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: MI  4351049150)
Enumeration Date2020-07-14
Last Update Date2025-05-21
Business Address
NANAKI TISACK
3535 W 13 MILE RD STE 344
ROYAL OAK, MI 48073-6770
Phone number: 248-551-0497
Mailing Address
NANAKI TISACK
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: