MR. RICHARD WAYNE SIDERS MD
NPI 1477630432
Radiology - Diagnostic Radiology in Sault Ste Marie, MI

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Active since November 01, 2006

500 OSBORN BLVD, SAULT STE MARIE, MI 49783(906) 635-4438(906) 635-4467 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Richard Wayne Siders Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RICHARD WAYNE SIDERS MD (NPI 1477630432) is an individual diagnostic radiology provider in Sault Ste Marie, Michigan, licensed in Michigan (4301029531) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1477630432

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameMR. RICHARD WAYNE SIDERSCredential: MD

Location Address500 OSBORN BLVDSault Ste Marie, MI 49783

Mailing AddressPo Box 1108, Attn Barb SimmonsAnn Arbor, MI 48106-1108 · (734) 677-7400 · Fax (734) 677-1603

Phone(906) 635-4438

Fax(906) 635-4467

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateOctober 3, 2007

✔ NPI 1477630432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MI · 4301029531

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

500 OSBORN BLVD, Sault Ste Marie, MI 49783

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Other Identifiers 3

Medicaid4920637MI

Medicare PINA76002075MI

Medicare PINP41100006MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. VERNON HORWITZ CRNA

Specialist