Search › North Carolina › 207Q00000X
Michael Disieno, LCAS
NPI 1770118929 · on the registry since 2020
Practice
- Address
- 1230 Medical Center Dr
Wilmington, NC 28401 - Phone
- (910) 799-5452
- Fax
- (910) 799-5479
- Organisation at this address
- Ave Maria Family Practice, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-09
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 North Carolina