Randall L Sisam, DO
NPI #1487604435 in Waterville, Maine
Provider Information
- NPI Number
- 1487604435
- Entity Type
- Individual
- Name
- Randall L Sisam, DO
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Obstetrics & Gynecology
- Credential
- DO
- Enumeration Date
- May 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 180 KENNEDY MEMORIAL DR
- City
- Waterville
- State
- Maine
- ZIP Code
- 04901-4540
- Phone
- (207) 872-5529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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