| Dr Jerome E Siudara, DO | |
|
7786 Mullett Lake Rd, Cheboygan, MI 49721-9056 | |
| (231) 627-2869 | |
| (231) 627-2869 |
| Full Name | Dr Jerome E Siudara |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 7786 Mullett Lake Rd, Cheboygan, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598941346 | NPI | - | NPPES |
| 1651630495 | Other | MI | BCBSM |
| 111350021 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | JS005875 (Michigan) | Primary |
| 208D00000X | General Practice | JS005875 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerome E Siudara, DO 7786 Mullett Lake Rd, Cheboygan, MI 49721-9056 Ph: (231) 627-2869 | Dr Jerome E Siudara, DO 7786 Mullett Lake Rd, Cheboygan, MI 49721-9056 Ph: (231) 627-2869 |
Dr. Marvin K Coy, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 722 S Main St, Cheboygan, MI 49721 Phone: 231-627-1493 Fax: 231-627-1492 |