| Rene Siazon Juridico, DPM | |
|
1600 S Kalamazoo Ave Ste A, Marshall, MI 49068-8730 | |
| (269) 781-4700 | |
| (269) 781-7168 |
| Full Name | Rene Siazon Juridico |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 7 Years |
| Location | 1600 S Kalamazoo Ave Ste A, Marshall, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720566466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 5901400406 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oaklawn Hospital | Marshall, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spartan Podiatry Pc | 4789816117 | 3 |
| Provider Name | Spartan Podiatry Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467664904 PECOS PAC ID: 4789816117 Enrollment ID: O20140416002195 |
| Mailing Address | Practice Location Address |
|---|---|
| Rene Siazon Juridico, DPM 1500 Watertower Pl Ste 300, East Lansing, MI 48823-8049 Ph: (517) 351-7640 | Rene Siazon Juridico, DPM 1600 S Kalamazoo Ave Ste A, Marshall, MI 49068-8730 Ph: (269) 781-4700 |
Spartan Podiatry Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1600 South Kalamazoo Ave., Marshall, MI 49068 Phone: 269-781-4700 Fax: 269-781-7168 | |
Dr. James M Gray, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1170 W Mich Ave, Marshall, MI 49068 Phone: 269-781-4700 Fax: 269-781-7168 | |
Angela Louise Robin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1600 S Kalamazoo Ave, Marshall, MI 49068 Phone: 269-781-4700 | |
Dr. William J Gray, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1170 W Mich Ave, Marshall, MI 49068 Phone: 269-781-4700 Fax: 269-781-7168 |