NPI 1578086146

Edward J. Lis, Jr, DO, PLLC

Organisation Orthopaedic Surgery Physician Fenton, MI

Practice location

Address: 17200 Silver Pkwy, Fenton, MI 48430-4437
Phone: (248) 872-8001
Fax: (248) 872-8001
Mailing address: PO Box 1855, Clarkston, MI 48347-1855

Authorised official

Name: Laurel a Wisniewski
Title: Credentialing/Coding
Phone: (248) 872-8001

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 5101014456 (MI)

Other Orthopaedic Surgery providers in Michigan →

Registry record

NPI: 1578086146
Entity type: Organization
NPI issued: 25 Jul 2017
Record last updated: 25 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.