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Contact Information

MICHAEL R LISKE, MD
2001 LAUREL AVE
SUITE NG4
KNOXVILLE, TN37916-1810
 Phone: 865-971-6897
 Fax: 865-971-1597
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL R LISKE · (Male)

NPI # 1013091123
Status Active
Credentials MD
Entity Individual
Enumeration date 10/25/2006
Last updated 01/05/2015 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD31697
  • KY Medicaid 64013873
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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