Individual
SILWANA SIDORCZUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
460 MAIN ST, SUITE 201, MADAWASKA, ME 04756-1014
(207) 728-7300
(207) 728-7838
Mailing address
194 E MAIN ST, FORT KENT, ME 04743-1428
(207) 728-7300
(207) 728-7838
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT185132
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200069
ANTHEM
—
05
—
432768599
—
ME
Enumeration date
05/18/2007
Last updated
08/19/2009
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