Individual
DR. MICHAEL JOSEPH NISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Mailing address
529 E CHESAPEAKE CIR, FRESNO, CA 93730-0740
(559) 303-3666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A55139
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
A55139
CA
Other
Enumeration date
10/25/2005
Last updated
11/09/2023
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