Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rene Siazon Juridico, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1720566466

Rene Siazon Juridico, DPM is a Podiatry in Marshall, Michigan. Qualified in 2018, 8 years ago. Practices with Spartan Podiatry PC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1600 S Kalamazoo Ave Ste A
Marshall, MI 49068-8730
Phone: (269) 781-4700
Fax: (269) 781-7168
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 5901400406 (MI)

Record details

NPI number1720566466
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 3, 2018
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Spartan Podiatry Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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