Tisack, Nanaki

Tisack, Nanaki is an individual health care provider with primary practice located at 3535 W 13 Mile Rd Ste 344 , Royal Oak MI 48073-6770. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Tisack, Nanaki can be contacted via phone (248) 551-0497.

Contact Information

Primary practice address
3535 W 13 Mile Rd Ste 344 Royal Oak MI 48073-6770
Phone: (248) 551-0497
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4351049150 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4351049150 Michigan

Profile Details

NPI number 1124636378
LBN Legal business name Tisack, Nanaki
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2020
Last updated May 21st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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