Individual
DENIS A SHISHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1965 S FREMONT AVE STE 100, SPRINGFIELD, MO 65804-2299
(417) 820-3800
Mailing address
1965 S FREMONT AVE STE 100, SPRINGFIELD, MO 65804-2299
(417) 820-3800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021017921
MO
Other
Enumeration date
08/18/2021
Last updated
10/13/2021
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