Individual
DEREK SISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2109 INDIA RD, CHARLOTTESVILLE, VA 22901-2886
(434) 978-4888
(434) 978-3633
Mailing address
2109 INDIA RD, CHARLOTTESVILLE, VA 22901-2886
(434) 978-4888
(434) 978-3633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557344
VA
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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