MEDICARE: DR. MICHAEL SEKMAN MD

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	2080A0000X	Pediatric Adolescent Medicine Physician	35060366S	OH

General Provider Information

NPI Number	:	1639170632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL SEKMAN MD

Provider Business Mailing Address
First Line	:	1616 E LIBERTY ST
Second Line	:	SUITE B
City	:	GIRARD
State	:	OH
Zip	:	44420-2418
Country	:	US
Telephone Number	:	330-759-4733
Fax Number	:	330-759-3527

Provider Business Practice Location Address
First Line	:	1616 E LIBERTY ST
Second Line	:	SUITE B
City	:	GIRARD
State	:	OH
Zip	:	44420-2418
Country	:	US
Telephone Number	:	330-759-4733
Fax Number	:	330-759-3527

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	07/08/2007

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