Most Relevant Information
Provider Data
| NPI Number: | 1003816075 |
| Provider Name: | WILLIAM NATHAN LISBERG MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | 28413 |
Most Important Dates
| Enumeration Date: | 07/29/2005 |
| Last Updated: | 03/03/2009 |
Provider Practice Location
3300 OAKDALE AVE N
ROBBINSDALE
MN
554222926
Practice Location Phone/Fax
| Phone: | 7635592171 |
| Fax: | 7636949000 |
Provider Mailing Location
2800 CAMPUS DR
#10
PLYMOUTH
MN
554412645
Provider Mailing Phone/Fax
| Phone: | 7635592171 |
| Fax: | 7636949000 |