Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEROME E SIUDARA, D.O.
Active Sole ProprietorDR. JEROME E SIUDARA, D.O. is a Gynecology healthcare provider located in CHEBOYGAN, Michigan. NPI 1598941346 is currently active in the NPPES registry. Verify at CMS.
Gynecology · CHEBOYGAN, MI
Registration Details
- NPI Number
- 1598941346
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2008 (18.404424314579 yrs)
- Last Updated
- Dec 15, 2008
- Licenses
-
JS005875 (MI)JS005875 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7786 MULLETT LAKE RDCHEBOYGAN, MI, 497219056Browse MI providers · Browse ZIP 49721
- Phone
- 2316272869
- Fax
- 2316272869
- Primary Specialty
-
Gynecology
207VG0400X
- Additional Specialty
- General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.