Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ZACHARY JONATHAN LISS, M.D.
ActiveDR. ZACHARY JONATHAN LISS, M.D. is a Pediatric Urology healthcare provider located in SAINT CLAIR SHORES, Michigan. NPI 1457592990 is currently active in the NPPES registry. Verify at CMS.
Pediatric Urology · SAINT CLAIR SHORES, MI
Registration Details
- NPI Number
- 1457592990
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2009 (17.237953575552 yrs)
- Last Updated
- Aug 6, 2015
- Licenses
-
4301092867 (MI)4301092867 (MI)
Practice Information
- Address
-
20952 E 12 MILE RDSUITE 200SAINT CLAIR SHORES, MI, 480813200Browse MI providers · Browse ZIP 48081
- Phone
- 5867714820
- Primary Specialty
-
Pediatric Urology
2088P0231X
- Additional Specialty
- Urology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.