Individual
MICHAEL K VISICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 LAKE ST, KENAI, AK 99611-6937
(907) 714-4111
(844) 412-3952
Mailing address
PO BOX 27128, SLC, UT 84127-0128
(435) 716-1940
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4739087-1205
UT
Other
Enumeration date
08/08/2006
Last updated
12/13/2023
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