MEDICARE: DR. ANDREW SITZMANN 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
1	207Q00000X	Family Medicine Physician	35.125117	OH

General Provider Information

NPI Number	:	1356636203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW SITZMANN M.D.

Provider Business Mailing Address
First Line	:	5450 FRANTZ RD STE 360
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-4141
Country	:	US
Telephone Number	:	614-898-8808
Fax Number	:

Provider Business Practice Location Address
First Line	:	2014 BALTIMORE REYNOLDSBURG RD
Second Line	:
City	:	REYNOLDSBURG
State	:	OH
Zip	:	43068-3261
Country	:	US
Telephone Number	:	614-533-6440
Fax Number	:

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

Provider Enumeration Date	:	06/17/2011
Last Update Date	:	01/25/2022

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