MEDICARE: DR. ANDREW JOHN SAWICKI DPM

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	213E00000X	Podiatrist	E028760	CA

General Provider Information

NPI Number	:	1306834163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW JOHN SAWICKI DPM

Provider Business Mailing Address
First Line	:	2100 NAPA VALLEJO HWY
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-6293
Country	:	US
Telephone Number	:	707-253-5000
Fax Number	:	707-938-1787

Provider Business Practice Location Address
First Line	:	2100 NAPA VALLEJO HWY
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-6293
Country	:	US
Telephone Number	:	707-253-5000
Fax Number	:	707-938-1787

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	04/10/2019

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