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Search › Michigan › 1041C0700X

Jacob Lisak

NPI 1770417263 · on the registry since 2026 · sole proprietor

Practice

Address
200 N Madison St
Marshall, MI 49068
Phone
(269) 789-3862
Fax
(269) 789-8126
Organisation at this address
Cep America Llc
Cep America Llc
Oaklawn Hospital
Oaklawn Hospital
Obhg Michigan - Direct Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
IN, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan