Individual
PETER R SIVISKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 HIGH ST, SUITE 202, LEWISTON, ME 04240-7640
(207) 784-2903
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
012354
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015534
ANTHEM BCBS
ME
01
—
0498199
AETNA US HEALTHCARE
ME
01
—
4343739
AETNA-NON HMO
ME
01
—
9254686
CIGNA
ME
01
—
B86422
HARVARD PILGRIM
ME
01
—
E004202
CHAMPUS
ME
01
—
M9330
CIGNA HEALTHSOURCE
ME
Enumeration date
07/24/2006
Last updated
07/08/2007
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