Individual
MR. ALEXANDER W SIOMKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6213 CHICAGO RD, SUITE 200, WARREN, MI 48092-1697
(586) 751-7979
(586) 751-0809
Mailing address
5128 TYLER DR, TROY, MI 48085-3488
(248) 689-4326
(248) 689-3450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024461
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302024461
PHARMASICT LICENSE NUMBER
MI
Enumeration date
12/14/2006
Last updated
09/04/2012
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