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Contact Information

RICHARD W SIDERS, MD
500 OSBORN BLVD
SAULT STE. MARIE, MI49783
 Phone: 906-635-4438
 Fax: 906-635-4467
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for RICHARD W SIDERS · (Male)

NPI # 1477630432
Status Active
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 10/03/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301029531
  • MI Medicaid 4920637
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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