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

Individual provider Certified Registered Nurse Anesthetist · NPI 1336561356

Wayne Lisak II, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Royal Oak, Michigan. Qualified in 2013, 13 years ago. Practices with Northstar Anesthesia of Michigan III PLLC, a 567-clinician group and works from 2 locations. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2014
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3601 W 13 Mile Rd Anesthesia
Royal Oak, MI 48073-6712
Phone: (248) 898-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6886 Sashabaw Rd, Clarkston, MI 48348-4732 — (248) 707-3112

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704272201 (MI)

Record details

NPI number1336561356
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 10, 2014
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Northstar Anesthesia Of Michigan Iii Pllc — 567 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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