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Organization

ANKLE AND FOOT CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH SIKO JR. DPM (PHYSICIAN)
(269) 324-3322
Entity
Organization

Contact information

Practice address
640 ROMENCE RD, SUITE 111, PORTAGE, MI 49024-3464
(269) 324-3322
(269) 324-3352
Mailing address
4310 LEONARD ST NW, SUITE 103, WALKER, MI 49534-8447
(616) 453-6329
(616) 453-1725

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001711
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4853956160
BCBSM
MI
Enumeration date
10/01/2007
Last updated
12/30/2010
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