| Dr Lee Michael Tisa, DPM | |
|
502 Sue Ann Dr, Lake Geneva, WI 53147-2341 | |
| (262) 248-9727 | |
| Not Available |
| Full Name | Dr Lee Michael Tisa |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 502 Sue Ann Dr, Lake Geneva, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184930745 | NPI | - | NPPES |
| 016003410 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 016-003410 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lee Michael Tisa, DPM 502 Sue Ann Dr, Lake Geneva, WI 53147-2341 Ph: (262) 248-9727 | Dr Lee Michael Tisa, DPM 502 Sue Ann Dr, Lake Geneva, WI 53147-2341 Ph: (262) 248-9727 |
Mark E Pfeifer, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 | |
E Bruns Foot And Ankle Sc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 160 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-248-9694 Fax: 262-248-0065 | |
E. Bruns Foot & Ankle, Sc Podiatrist Medicare: Medicare Enrolled Practice Location: 160 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-248-9565 Fax: 262-248-0065 |