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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL JAMES SIVAK III, LPN

Active

MR. MICHAEL JAMES SIVAK III, LPN is a Licensed Practical Nurse healthcare provider located in FOUNTAIN HILLS, Arizona. NPI 1861948432 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · FOUNTAIN HILLS, AZ

Registration Details

NPI Number
1861948432
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2016 (9.9905614873882 yrs)
Last Updated
Sep 1, 2016
License
LP049466 (AZ)

Practice Information

Address
16100 E PALISADES BLVD
FOUNTAIN HILLS, AZ, 85268
Browse AZ providers · Browse ZIP 85268
Phone
4806645500
Primary Specialty
Licensed Practical Nurse
164W00000X
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.