| Doctor Name: | WILLIAM NATHAN LISBERG |
| NPI Number: | 1003816075 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 28413 |
| Business Practice Address: | 3300 Oakdale Ave N Robbinsdale, MN - 554222926 |
| Business Phone Number: | 7635592171 |
| Business Fax Number: | 7636949000 |
| Mailing Address: | 2800 Campus Dr, #10 PLYMOUTH |
| State: | MN |
| Postal Code: | 554412645 |
| Phone Number: | 7635592171 |
| Fax Number: | 7636949000 |
| NPI Enumeration Date: | 07/29/2005 |
| NPI Last Update Date: | 03/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085U0001X |
| License Number: | 28413 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Ultrasound |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |