Michael David Kisicki MD

NPI 1407067572 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1407067572
Gender Male
Enumeration Date 05/24/2007
Last Updated 03/21/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
UCONN MEDICAL GROUP
263 FARMINGTON AVENUE
FARMINGTON CT, 06030-0001, US
Phone (860) 679-6700
Fax (860) 679-6736
Business Location
UCONN MEDICAL GROUP
263 FARMINGTON AVENUE
FARMINGTON CT, 06030-0001, US
Phone (860) 679-6700
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State California
License Number A96472
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According to our database, Dr. Michael David Kisicki MD NPI is 1407067572, taxonomy code is 2084P0800X and license number is A96472, license state is located at California. Michael David Kisicki MD physically located at Uconn Medical Group, Farmington CT, 06030-0001. NPI Number Michael David Kisicki MD has the Individual type.

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1407067572 NPI number is provided on an as is basis without warranty of any kind. 1407067572 is maintained by the National Plan & Provider Enumeration System. The contents of Michael David Kisicki MD are for informational purposes only.