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MS. CHERYL A SISCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
200 JEFFERSON AVE., GRAND RAPIDS, MI 49503
(616) 685-5000
(616) 685-5260
Mailing address
245 STATE ST SE, STE 221, GRAND RAPIDS, MI 49503
(616) 685-8050
(616) 685-1850

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704128012
MI

Other

Enumeration date
04/21/2010
Last updated
07/23/2010
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