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Individual

BARTON GLEN SICKINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO FACC

Contact information

Practice address
650 N WYMORE RD, SUITE 101, WINTER PARK, FL 32789-2859
(407) 644-8668
(407) 644-5637
Mailing address
650 N WYMORE RD, SUITE 101, WINTER PARK, FL 32789-2859
(407) 644-8668
(407) 644-5637

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
050005006
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042383100
FL
01
060031133
RR
01
2001321
AETNA
Enumeration date
08/31/2005
Last updated
08/24/2011
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