Individual
DR. DEMOSTENES R SISON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4520 OBERLIN AVE, LORAIN, OH 44053-3173
(440) 282-1485
(440) 282-5328
Mailing address
4520 OBERLIN AVE, LORAIN, OH 44053-3173
(440) 282-1485
(440) 282-5328
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269445
—
OH
Enumeration date
03/16/2006
Last updated
07/08/2007
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