Individual
DR. G R SICARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4825 MUNSON STREET NW, CANTON, OH 44718-3690
(330) 497-7525
(330) 497-2687
Mailing address
4825 MUNSON STREET NW, CANTON, OH 44718-3690
(330) 497-7525
(330) 497-2687
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35031404S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121255
—
OH
Enumeration date
07/27/2006
Last updated
07/09/2007
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