Individual
MICHAEL S SIPPLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
739 IRVING AVE, SUITE 205, SYRACUSE, NY 13210-1640
(315) 234-6677
(315) 234-4808
Mailing address
730 S CROUSE AVE, SUITE 205, SYRACUSE, NY 13210-1713
(315) 234-4818
(315) 234-4807
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1722081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01241510
—
NY
Enumeration date
01/23/2006
Last updated
07/08/2007
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