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Individual

CHARLES ANTHONY SISOVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
10455 ORTHOPAEDIC DR, NEWBURGH, IN 47630-7955
(812) 424-9291
(812) 421-2722
Mailing address
515 READ ST, EVANSVILLE, IN 47710-1739
(812) 424-9291

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
00455
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001347A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001611175
ANTHEM
IN
05
300041082
IN
Enumeration date
06/30/2016
Last updated
02/12/2026
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