LEE MICHAEL TISA

LAKE GENEVA, WI
NPI1184930745
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: IL  016-003410)
Enumeration Date2010-08-20
Last Update Date2010-08-20
Business Address
Dr. LEE MICHAEL TISA D.P.M.
502 SUE ANN DR
LAKE GENEVA, WI 53147-2341
Phone number: 262-248-9727
Mailing Address
Dr. LEE MICHAEL TISA D.P.M.
502 SUE ANN DR
LAKE GENEVA, WI 53147-2341
Phone number: 262-248-9727
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