Individual
EMMANUEL SISON MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 S 16TH ST, STE 1015, MILWAUKEE, WI 53215-4537
(414) 643-4300
(414) 384-4332
Mailing address
3201 S 16TH ST, STE 1015, MILWAUKEE, WI 53215-4537
(414) 643-4300
(414) 384-4332
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
22808
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30299800
—
WI
Enumeration date
07/12/2005
Last updated
10/15/2007
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