Individual
ANGELA PERAINO-SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 49503-2526
(616) 391-7777
Mailing address
25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 49503-2526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101023360
MI
207RP1001X
Pulmonary Disease Physician
Primary
5101023360
MI
2080P0214X
Pediatric Pulmonology Physician
5101023360
MI
Other
Enumeration date
06/26/2017
Last updated
12/15/2021
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