Individual
MICHAEL JOSHUA CISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 WELCH RD, PACKARD CHILDRENS HOSPITAL AT STANFORD, PALO ALTO, CA 94304-1601
(650) 723-7913
Mailing address
725 WELCH RD, PACKARD CHILDRENS HOSPITAL AT STANFORD, PALO ALTO, CA 94304-1601
(650) 723-7913
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A87399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A873990
—
CA
Enumeration date
02/22/2007
Last updated
03/10/2015
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