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

Edward J Lis Jr., DO

Individual provider Orthopaedic Surgery Physician · NPI 1952371338

Edward J Lis Jr., DO is an Orthopedic Surgery in Clarkston, Michigan. Graduated from Midwestern University, Chicago College of Osteopathic Med in 1999, 27 years ago. Practices with Hurley Medical Center, a 336-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
MI
In the registry since
2006
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

6310 Sashabaw Rd Ste A
Clarkston, MI 48346-2270
Phone: (248) 620-2325
Fax: (248) 620-2326
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 5101014456 (MI)

Record details

NPI number1952371338
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 26, 2006
Last updated in NPPESJuly 8, 2007
Mailing address6310 Sashabaw Rd, Suite A, Clarkston, MI 48346-2270

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 1999 (27 years in practice)
Group practice Hurley Medical Center — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Clarkston