Individual
DR. DANIEL C SISEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36 W YOKUTS AVE, SUITE 1, STOCKTON, CA 95207-5713
(209) 952-3700
(209) 478-3302
Mailing address
36 W YOKUTS AVE, SUITE 1, STOCKTON, CA 95207-5713
(209) 952-3700
(209) 478-3302
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G11531
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G115311
—
CA
Enumeration date
10/31/2006
Last updated
07/08/2007
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