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Daniel Kisicki, MD
NPI 1902060833 · on the registry since 2008 · sole proprietor
Practice
- Address
- 4017 Rawlins St
Cheyenne, WY 82001 - Phone
- (307) 635-2562
- Fax
- (307) 638-2074
- Organisation at this address
- Pro Sports Therapy, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Additional practice sites
- 1950 Bluegrass Cir, Cheyenne, WY
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
Sports Medicine (Family Medicine) Physician - Licence states on file
- MI, WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-28
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 Wyoming