Organization Name: | MICHAEL J SEKOSKY |
NPI Number: | 1063543940 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL SEKOSKY (PROVIDER) |
Mailing Address: | 11046 N Saguaro Blvd Suite 2 Fountain Hills |
State: | AZ US |
Postal Code: | 852685537 |
Phone Number: | 6029578726 |
Fax Number: | 6029559279 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 03/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |