Individual
MICHAEL D SISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
ACGME PROGRAM 1801021144 8901 WISCONSIN AVE, BETHESDA, MD 20889-4759
(301) 295-4771
Mailing address
USA MEDDAC, 11050 MT. BELVEDERE BLVD, FORT DRUM, NY 13602
(315) 772-2020
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102207184
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2020
Last updated
05/18/2022
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