Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Taras Lisowsky, DO

Individual provider Family Medicine Physician · NPI 1710961990

Dr. Taras Lisowsky, DO is a Family Practice in Warren, Michigan. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2001, 25 years ago. Practices with Michigan Healthcare Professionals PC, a 520-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
25
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
MI
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

11300 E 13 Mile Rd Ste 1
Warren, MI 48093-2500
Phone: (586) 777-6170
Fax: (586) 777-6582
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101014940 (MI)

Record details

NPI number1710961990
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 1, 2005
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022
Mailing address11300 E 13 Mile Rd Ste 1, Warren, MI 48093-2500

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2001 (25 years in practice)
Group practice Michigan Healthcare Professionals Pc — 520 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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