Individual
CHRISTIAN W SIKORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12266 DE PAUL DR STE 100, BRIDGETON, MO 63044-2541
(314) 738-2770
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
01082618A
IN
207T00000X
Neurological Surgery Physician
Primary
20100093266
MO
207T00000X
Neurological Surgery Physician
4301087045
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111095
BLUE CROSS BLUE SHIELD
MI
05
—
104938622
—
MI
01
—
252000123
MEDICARE
IN
05
—
300032360
—
IN
01
—
OP32880
RR MEDICARE
—
Enumeration date
02/21/2006
Last updated
10/27/2020
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