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Contact Information

MARIAH N SISSON
200 HAWKINS DR
IOWA CITY, IA52242-1009
 Phone: 319-384-6440
 Fax: 319-384-6295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARIAH N SISSON · (Female)

NPI Number 1548752496
Status Active
Credentials
Entity Individual
Enumeration date 06/05/2018
Last updated 11/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IA License # MD-53654
  • MN License # 72349
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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