Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC A KIVISTO, DO
ActiveERIC A KIVISTO, DO is a General Surgery healthcare provider located in MENDOTA, Illinois. NPI 1447257316 is currently active in the NPPES registry. Verify at CMS.
General Surgery · MENDOTA, IL
Registration Details
- NPI Number
- 1447257316
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2005 (20.96472790707 yrs)
- Last Updated
- Dec 7, 2022
- Licenses
-
5101011210 (MI)036091073 (IL)
Practice Information
- Address
-
1405 E 12TH STSUITE 500MENDOTA, IL, 613429010Browse IL providers · Browse ZIP 61342
- Phone
- 8155391789
- Fax
- 8155391430
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
Other General Surgery Providers in MENDOTA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL P VERCIMAK | MD | 1366500852 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.