Individual
DR. MICHAEL W SICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 294-3468
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 294-3468
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
99-00680
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000298835
UNISON HEALTH PLAN OF SC
SC
01
—
1208W
BCBS
NC
01
—
17438
DOCTORS HEALTH PLAN
NC
01
—
20096159
SELECT HEALTH OF SC
SC
01
—
276553
MAMSI
NC
01
—
31165
PARTNERS
NC
01
—
88418
MEDCOST
NC
05
—
891208W
—
NC
05
—
N00680
—
SC
Enumeration date
03/11/2006
Last updated
04/26/2021
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