Dr. MICHAEL ROBERT TISO MD
Individual Provider (NPI-1)
Active
Emergency Medicine, Sports Medicine
Provider Information
- NPI Number
1326330440- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 111 N MAPLEMERE RD STE 100, WILLIAMSVILLE, NY, 142213182
- Phone
- (716) 204-3200
- Fax
- (716) 204-4337
Specialties & Taxonomies
Emergency Medicine, Emergency Medical Services
License: OH #35.122274
Emergency Medicine, Sports Medicine
License: OH #35.122274
Emergency Medicine, Sports Medicine
Primary License: NY #277182
Internal Medicine
License: OH #35.122274