Search › Michigan › 253J00000X
Mark Sissell
NPI 1972159440 · on the registry since 2019 · sole proprietor
Practice
- Address
- 8180 19 Mile Rd
Sand Lake, MI 49343 - Phone
- (616) 696-2304
- Fax
- (616) 696-1713
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 253J00000X
253J00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan