Individual
DR. FAUSTO ANTONIO SICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4825 MUNSON ST NW, CANTON, OH 44718-3614
(330) 497-7525
Mailing address
1603 SLATE RUN CIR NE, CANTON, OH 44721-3806
(330) 305-9162
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
63799
OH
Other
Enumeration date
04/28/2006
Last updated
07/08/2007
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