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

Nanaki Tisack

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1124636378

Nanaki Tisack is a Critical Care Medicine (Internal Medicine) Physician in Royal Oak, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020
Specialties on file
2

Practice location Address checks out

3535 W 13 Mile Rd Ste 344
Royal Oak, MI 48073-6770
Phone: (248) 551-0497
Show map & directions

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

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 4351049150 (MI)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 4351049150 (MI)

Record details

NPI number1124636378
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2020
Last updated in NPPESMay 21, 2025
Certification dateMay 10, 2025
Mailing address3601 W 13 Mile Rd, Royal Oak, MI 48073-6712

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