Doctor Name: | MEGAN ESTA FINK SIKKEMA |
NPI Number: | 1629337068 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 5101019798 |
Business Practice Address: | 5629 Stadium Dr Suite B Kalamazoo, MI - 490091952 |
Business Phone Number: | 2693729780 |
Business Fax Number: | 2693720698 |
Mailing Address: | 5629 Stadium Dr, Suite B KALAMAZOO |
State: | MI |
Postal Code: | 490091952 |
Phone Number: | 2693729780 |
Fax Number: | 2693720698 |
NPI Enumeration Date: | 05/04/2012 |
NPI Last Update Date: | 06/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 5101019798 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |