Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 46988 | WI |
NPI | 1922063551 |
---|---|
Provider Name | Elizabeth A Sisk |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-0002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 21/01/2021 |