Individual
MARRIUM SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12750 SAINT FRANCIS DR STE 410, CROWN POINT, IN 46307-0264
(219) 769-8340
(219) 769-8341
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
02008589A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/27/2020
Last updated
09/02/2025
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