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

Mark John Telisman

Individual provider General Practice Registered Nurse · NPI 1639881881

Mark John Telisman is a General Practice Registered Nurse in Willoughby, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
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Practice location Address checks out

35000 Kaiser Ct
Willoughby, OH 44094-3382
Phone: (440) 269-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 279674 (OH)

Record details

NPI number1639881881
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 20, 2022
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022
Mailing address35000 Kaiser Ct, Willoughby, OH 44094-3382

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