Dr DANIEL R KISICKI is a male medical professional, specializing in Family Medicine. He graduated in 2008 from University Of Colorado School Of Medicine.
CHEYENNE REGIONAL PHYSICIANS GROUP LLC
4017 RAWLINS ST
CHEYENNE
WY
820011800
Tel: 3076336082
| Npi | 1902060833 |
| Pac Id | 6709024045 |
| Professional Enrollment Id | I20130529000268 |
| Last Name | KISICKI |
| First Name | DANIEL |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | ORTHOPEDIC SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | ORTHOPEDIC SURGERY |
| Organization Legal Name | CHEYENNE REGIONAL PHYSICIANS GROUP LLC |
| Group Practice Pac Id | 2961403639 |
| Number Of Group Practice Members | 77 |
| Line 1 Street Address | 4017 RAWLINS ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CHEYENNE |
| State | WY |
| Zip Code | 820011800 |
| Phone Number | 3076336082 |
| Hospital Affiliation Ccn 1 | 530014 |
| Hospital Affiliation Lbn 1 | CHEYENNE REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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