Individual
DR. SPYROS MICHAEL SISCOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A177736
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2023010353
MO
207ND0101X
MOHS-Micrographic Surgery Physician
A177736
CA
207R00000X
Internal Medicine Physician
9409573
KS
Other
Enumeration date
03/29/2018
Last updated
07/23/2024
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