Healthcare Provider Details

I. General information

NPI: 1821098468
Provider Name (Legal Business Name): WENDY THERESE CICEK STEIGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WENDY THERESE CICEK MD

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 10/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 41ST AVE STE C
CAPITOLA CA
95010-2516
US

IV. Provider business mailing address

3400 DATA DR
RANCHO CORDOVA CA
95670-7956
US

V. Phone/Fax

Practice location:
  • Phone: 831-684-7611
  • Fax: 831-477-2009
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC143607
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberC143607
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: