MEDICARE: PETER SIGMANN 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	207R00000X	Internal Medicine Physician	23243-020	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B85257	OTHER	WI	UPIN

General Provider Information

NPI Number	:	1912186750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER SIGMANN M.D.

Provider Business Mailing Address
First Line	:	3732 ROCKY SHORE DR
Second Line	:
City	:	STURGEON BAY
State	:	WI
Zip	:	54235-9427
Country	:	US
Telephone Number	:	920-824-5193
Fax Number	:

Provider Business Practice Location Address
First Line	:	1623 RHODE ISLAND ST
Second Line	:
City	:	STURGEON BAY
State	:	WI
Zip	:	54235-1424
Country	:	US
Telephone Number	:	920-746-8989
Fax Number	:	920-746-8960

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

Provider Enumeration Date	:	10/29/2007
Last Update Date	:	10/29/2007

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