Individual
DR. MICHELE Q PISCIOTTA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHYSICIAN
Contact information
Practice address
4502 OLD PASS RD, GULFPORT, MS 39501-2585
(228) 863-9977
(228) 863-9912
Mailing address
4502 OLD PASS RD, GULFPORT, MS 39501-2585
(228) 863-9977
(228) 863-9912
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16374
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120940
—
MS
Enumeration date
12/28/2005
Last updated
07/09/2007
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