Dr Jerome E Siudara, DO | |
7786 Mullett Lake Rd, Cheboygan, MI 49721-9056 | |
(231) 627-2869 | |
(231) 627-2869 |
Full Name | Dr Jerome E Siudara |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology - Gynecology |
Location | 7786 Mullett Lake Rd, Cheboygan, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598941346 | NPI | - | NPPES |
1651630495 | Other | MI | BCBSM |
111350021 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | JS005875 (Michigan) | Primary |
208D00000X | General Practice | JS005875 (Michigan) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Jerome E Siudara, DO 7786 Mullett Lake Rd, Cheboygan, MI 49721-9056 Ph: (231) 627-2869 | Dr Jerome E Siudara, DO 7786 Mullett Lake Rd, Cheboygan, MI 49721-9056 Ph: (231) 627-2869 |
Dr. Marvin K Coy, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 722 S Main St, Cheboygan, MI 49721 Phone: 231-627-1493 Fax: 231-627-1492 |