Individual
DR. AMY CATHERINE SISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, CLARA FORD PAVILION - CFP117, DETROIT, MI 48202-2608
(313) 916-2101
(313) 916-8007
Mailing address
2799 W GRAND BLVD, CLARA FORD PAVILION - CFP117, DETROIT, MI 48202-2608
(313) 916-2101
(313) 916-8007
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D56445
MD
2086S0102X
Surgical Critical Care Physician
D56445
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151300100
—
MD
Enumeration date
07/01/2006
Last updated
01/22/2013
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