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Contact Information

ANGELA PERAINO SISSON, DO
25 MICHIGAN ST NE STE 2100
GRAND RAPIDS, MI49503-2526
 Phone: 616-391-7777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ANGELA PERAINO SISSON · (Female)

NPI Number 1730609223
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/26/2017
Last updated 12/15/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101023360
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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