Provider Demographics
NPI:1740326891
Name:SINOPOLI, MICHAEL J (PA-C)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:J
Last Name:SINOPOLI
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1235 W DAYTON AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93705-3428
Mailing Address - Country:US
Mailing Address - Phone:559-225-3738
Mailing Address - Fax:
Practice Address - Street 1:4910 E CLINTON WAY STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-1560
Practice Address - Country:US
Practice Address - Phone:559-453-5203
Practice Address - Fax:559-453-3321
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA17642363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical