Derek Sisak, DC

NPI 1699272153 · on the registry since 2018

Practice

Address: 2109 India Rd
Charlottesville, VA 22901
Phone: (434) 978-4888
Fax: (434) 978-3633
Organisation at this address: Scott Wagner Integrated Medicine Llc
Advanced Pain Management Of Virginia Llc
Advanced Mobile Wound Care Of Virginia Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-04-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia