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

Mr. Michael Joseph Disieno, LCAS

Individual provider Family Medicine Physician · NPI 1770118929

Mr. Michael Joseph Disieno, LCAS is a Family Medicine Physician in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020

Practice location Address checks out

1230 Medical Center Dr
Wilmington, NC 28401-7332
Phone: (910) 799-5452
Fax: (910) 799-5479
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence LCAS-687 (NC)

Record details

NPI number1770118929
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS
Sole proprietorNo
NPI enumeratedMarch 9, 2020
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020

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