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Individual
MICHAEL J. SISE
Active
Individual
MICHAEL J. SISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G48515
CA
2086S0129X
Vascular Surgery Physician
Primary
G48515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G485150
—
CA
Enumeration date
04/10/2006
Last updated
04/16/2013
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