Provider Demographics
NPI:1821322090
Name:SIGELKO, DANIELLE M (DO)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:M
Last Name:SIGELKO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 N MAIN
Mailing Address - Street 2:
Mailing Address - City:CEDAR SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49319-8041
Mailing Address - Country:US
Mailing Address - Phone:616-696-2020
Mailing Address - Fax:616-696-4860
Practice Address - Street 1:261 N MAIN
Practice Address - Street 2:
Practice Address - City:CEDAR SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49319-8041
Practice Address - Country:US
Practice Address - Phone:616-696-2020
Practice Address - Fax:616-696-4860
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017803207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine