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NPI Code Detail

MEDICARE: DR. ROBERT F SIGWORTH M.D.

MEDICARE: DR. ROBERT F SIGWORTH M.D.
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
1207R00000XInternal Medicine Physician4301081164MI
2207PE0004XEmergency Medical Services (Emergency Medicine) Physician4301081164MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2RS081164OTHERMIBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1336144740
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT F SIGWORTH M.D.
Provider Business Mailing Address
First Line : PO BOX 107
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49685-0107
Country : US
Telephone Number : 231-947-0673
Fax Number : 801-740-2847
Provider Business Practice Location Address
First Line : 1105 6TH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2349
Country : US
Telephone Number : 231-947-0673
Fax Number : 801-740-2847
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 09/14/2007

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Directions to “ DR. ROBERT F SIGWORTH M.D.” Practice Location

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