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Individual

CARL ALBERT SIGMUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3240 W SILVER LAKE RD, FENTON, MI 48430-1374
(810) 714-4616
Mailing address
3240 W SILVER LAKE RD, FENTON, MI 48430-1374

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30647
BLUE CROSS OF MICHIGAN
MI
Enumeration date
09/27/2006
Last updated
07/08/2007
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