Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK EDWARD SISSELL
Active Sole ProprietorMARK EDWARD SISSELL is a Foster Care Agency healthcare provider located in SAND LAKE, Michigan. NPI 1972159440 is currently active in the NPPES registry. Verify at CMS.
Foster Care Agency · SAND LAKE, MI
Registration Details
- NPI Number
- 1972159440
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2019 (6.9997881093284 yrs)
- Last Updated
- Aug 12, 2019
- License
-
AL410007118 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8180 19 MILE RDSAND LAKE, MI, 493439455Browse MI providers · Browse ZIP 49343
- Phone
- 6166962304
- Fax
- 6166961713
- Primary Specialty
-
Foster Care Agency
253J00000X
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.