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1457592990
ZACHARY JONATHAN LISS
SAINT CLAIR SHORES, MI
NPI
1457592990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2088P0231X
(Licence: MI 4301092867)
Additional Taxonomies
208800000X Urology
(Licence: MI 4301092867)
Enumeration Date
2009-03-12
Last Update Date
2015-08-06
Business Address
Dr. ZACHARY JONATHAN LISS M.D.
20952 E 12 MILE RD SUITE 200
SAINT CLAIR SHORES, MI 48081-3200
Phone number: 586-771-4820
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Mailing Address
Dr. ZACHARY JONATHAN LISS M.D.
20952 E 12 MILE RD SUITE 200
SAINT CLAIR SHORES, MI 48081-3200
Phone number: 586-771-4820
Copy
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