Provider Demographics
NPI:1639170632
Name:SEKMAN, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:SEKMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 E LIBERTY ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-2418
Mailing Address - Country:US
Mailing Address - Phone:330-759-4733
Mailing Address - Fax:330-759-3527
Practice Address - Street 1:1616 E LIBERTY ST
Practice Address - Street 2:SUITE B
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-2418
Practice Address - Country:US
Practice Address - Phone:330-759-4733
Practice Address - Fax:330-759-3527
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35060366S2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine