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Individual

DAVID S SISCOVICK

Active
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Individual

DAVID S SISCOVICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00016260
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1036862
WA
01
1085
INTERNAL ID-MOTOR VEHICLE ID
01
110222861
RAIL ROAD MEDICARE
WA
Enumeration date
10/27/2006
Last updated
01/05/2012
Update your record

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