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NPI Code Detail

MEDICARE: ALAN H SIGGELKOW LCSW

MEDICARE: ALAN H SIGGELKOW LCSW
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
11041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508179318
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN H SIGGELKOW LCSW
Provider Business Mailing Address
First Line : W175N11120 STONEWOOD DR
Second Line :
City : GERMANTOWN
State : WI
Zip : 53022-4799
Country : US
Telephone Number : 262-345-5560
Fax Number : 262-345-5562
Provider Business Practice Location Address
First Line : W175N11120 STONEWOOD DR
Second Line :
City : GERMANTOWN
State : WI
Zip : 53022-4799
Country : US
Telephone Number : 262-345-5560
Fax Number : 262-345-5562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2010
Last Update Date : 03/11/2021

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Directions to “ ALAN H SIGGELKOW LCSW” Practice Location

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