| Doctor Name: | DR. TIMOTHY J SIEBECKER |
| NPI Number: | 1184651762 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | SC003672R |
| Business Practice Address: | 334 Main St Ste 1 Dickson City, PA - 185191620 |
| Business Phone Number: | 5703071767 |
| Business Fax Number: | 5703071770 |
| Mailing Address: | 334 Main St, Ste 1 DICKSON CITY |
| State: | PA |
| Postal Code: | 185191620 |
| Phone Number: | 5703071767 |
| Fax Number: | 5703071770 |
| NPI Enumeration Date: | 06/27/2006 |
| NPI Last Update Date: | 01/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC003672R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |