Individual
MARK ALAN SCHICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2409 MAIN ST, BRIDGEPORT, CT 06606-5324
(203) 334-6955
(203) 334-2851
Mailing address
2409 MAIN ST, BRIDGEPORT, CT 06606-5324
(203) 334-6955
(203) 334-2851
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
174
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001931
HEALTHNET
—
01
—
030000174CT02
BLUE SHIELD
—
05
—
4070447
—
CT
01
—
567628
AETNA
—
Enumeration date
08/31/2006
Last updated
10/01/2008
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