Individual
DR. MICHAEL SISON DUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
674 AQUIDNECK AVE STE 1, MIDDLETOWN, RI 02842-5795
(401) 847-9955
(401) 847-9948
Mailing address
674 AQUIDNECK AVE STE 1, MIDDLETOWN, RI 02842-5795
(401) 847-9955
(401) 847-9948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14004
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2010
Last updated
12/03/2024
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