Individual
MICHAEL SHISHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 E CAMBRIDGE AVE, SUITE 200, PHOENIX, AZ 85016-1459
(602) 933-0909
(602) 933-0911
Mailing address
1920 E CAMBRIDGE AVE, SUITE 200, PHOENIX, AZ 85006-1459
(602) 933-0909
(602) 933-0911
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
35371
AZ
Other
Enumeration date
05/10/2006
Last updated
11/22/2011
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