Individual
DR. MICHAEL JOSEPH SISTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4288 BALDWIN RD, AUBURN HILLS, MI 48326-1268
(248) 253-0900
(248) 332-4952
Mailing address
4288 BALDWIN RD, AUBURN HILLS, MI 48326-1268
(248) 253-0900
(248) 332-4952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003598
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110955
EYE MED
—
05
—
3404800
—
MI
01
—
900E06513
BCBS
—
Enumeration date
04/10/2007
Last updated
03/12/2010
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