Provider Demographics
NPI:1669791471
Name:SIGL, PATRICIA ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANN
Last Name:SIGL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:RANKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:30 N 18TH AVE
Mailing Address - Street 2:UNIT #2
Mailing Address - City:STURGEON BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54235-3207
Mailing Address - Country:US
Mailing Address - Phone:920-743-6911
Mailing Address - Fax:920-743-5890
Practice Address - Street 1:30 N 18TH AVE
Practice Address - Street 2:UNIT #2
Practice Address - City:STURGEON BAY
Practice Address - State:WI
Practice Address - Zip Code:54235-3207
Practice Address - Country:US
Practice Address - Phone:920-743-6911
Practice Address - Fax:920-743-5890
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2010-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6378-0151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice