Individual provider · Type 1 NPI

Stephanie Sisak, MD

Student in an Organized Health Care Education/Training Program · Charlotte, NC

NPI number 1508326059 Active

Practice location

1000 Blythe Blvd Ste 601
Charlotte, NC 28203-5812

Call (704) 355-7874 Map

Fax (704) 355-5619

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508326059

Stephanie Sisak, MD's National Provider Identifier is 1508326059, issued on Mar 21, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlotte, NC. The record was last updated on May 1, 2026.