Individual
DR. MICHAEL E JISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 VARNUM AVE STE 203, LOWELL, MA 01854-2109
(978) 458-4300
(978) 458-4311
Mailing address
275 VARNUM AVE STE 203, LOWELL, MA 01854-2109
(978) 458-4300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
157012
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3188329
—
MA
Enumeration date
12/13/2005
Last updated
10/28/2022
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