Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Edward Sissell

Individual provider Foster Care Agency · NPI 1972159440

Mark Edward Sissell is a Foster Care Agency in Sand Lake, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8180 19 Mile Rd
Sand Lake, MI 49343-9455
Phone: (616) 696-2304
Fax: (616) 696-1713
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foster Care Agency (primary) Taxonomy 253J00000X · Licence AL410007118 (MI)

Record details

NPI number1972159440
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 12, 2019
Last updated in NPPESAugust 12, 2019