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Individual
DR. THEODORE JOHN SIKORSKI
Active
Individual
DR. THEODORE JOHN SIKORSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
179921
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505927
—
LA
01
—
NC6921I
MEDICARE PTAN
NC
01
—
NC6921J
MEDICARE PTAN
NC
Enumeration date
10/01/2007
Last updated
12/04/2016
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