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

Mr. Michael James Lisieski

Individual provider Family Medicine Physician · NPI 1023637741

Mr. Michael James Lisieski is a Family Practice in Toledo, Ohio. Qualified in 2020, 6 years ago. Practices with University of Toledo Physicians LLC, a 395-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020
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Practice location Address checks out

3333 Glendale Ave
Toledo, OH 43614-2426
Phone: (419) 383-5555
Fax: (419) 383-3113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35.148139 (OH)

Record details

NPI number1023637741
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 13, 2020
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing address3000 Arlington Ave Stop 1108, Toledo, OH 43614-2595

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Of Toledo Physicians Llc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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