Individual
GEOFFROY COURCELLE SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 OLENTANGY RIVER RD STE 2140, COLUMBUS, OH 43212-3153
(614) 293-8566
(614) 293-3381
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8566
(614) 366-0443
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35134299
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0308728
—
OH
Enumeration date
04/02/2009
Last updated
03/17/2021
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