WAYNE LISAK

ROYAL OAK, MI
NPI1336561356
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704272201)
Enumeration Date2014-01-10
Last Update Date2014-01-10
Business Address
-- WAYNE LISAK
3601 W 13 MILE RD ANESTHESIA
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
Mailing Address
-- WAYNE LISAK
750 STEPHENSON HWY BEAUMONT PAYOR CONTRACT SERVICES
TROY, MI 48083-1103
Phone number: 248-577-3511
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