MEDICARE: DAVID CLISCH DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501017805	MI

General Provider Information

NPI Number	:	1841745940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID CLISCH DPT

Provider Business Mailing Address
First Line	:	406 W HUDSON AVE
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-3122
Country	:	US
Telephone Number	:	517-614-3164
Fax Number	:

Provider Business Practice Location Address
First Line	:	406 W HUDSON AVE
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-3122
Country	:	US
Telephone Number	:	734-953-4155
Fax Number	:	734-953-1622

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2016
Last Update Date	:	01/26/2017

Similar Medicare Providers

1144934621 — CRYSTAL LEAKE
Practice Location Address:

16 ROYAL AVE
LIVINGSTON, NJ
07039-3122

Practice Phone: 973-207-3117
Practice Fax:

1992638787 — NYLA RIDDICK
Practice Location Address:

15725 THOMAS LN
OAK FOREST, IL
60452-3122

Practice Phone: 708-762-2907
Practice Fax:

1295017192 — TIM KELLY PHARM D
Practice Location Address:

3122 WHITE OAK TRAIL
HIGHLANDS RANCH, CO
80129

Practice Phone: 720-344-9863
Practice Fax:

1144108226 — BRIANA JOANNE FOSTER MA, TLLP
Practice Location Address:

25600 WOODWARD AVE STE 109
ROYAL OAK, MI
48067-0944

Practice Phone: 248-909-2023
Practice Fax:

1720910995 — KATY LOU KARSTEN
Practice Location Address:

418 N MAIN ST STE 200
ROYAL OAK, MI
48067-1813

Practice Phone: 999-999-9999
Practice Fax:

1063387686 — WISE WELL SUPPLIES INC
Practice Location Address:

418 N MAIN ST FL 2
ROYAL OAK, MI
48067-1813

Practice Phone: 313-465-4301
Practice Fax:

Directions to “ DAVID CLISCH DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.