MEDICARE: SYGNETICS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1164940888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYGNETICS, INC.

Provider Business Mailing Address
First Line	:	691 N SQUIRREL RD STE 110
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-2846
Country	:	US
Telephone Number	:	248-537-1222
Fax Number	:

Provider Business Practice Location Address
First Line	:	691 N SQUIRREL RD STE 110
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-2846
Country	:	US
Telephone Number	:	248-537-1222
Fax Number	:

Authorized Official
Title or Position	:	I.T. MANAGER
Name	:	MR. CHAD TARKOWSKI
Credential	:
Telephone Number	:	248-537-1222

Provider Enumeration Date	:	09/01/2017
Last Update Date	:	07/21/2022

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