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Organization
THOMAS S. SIEGEL, M.D.P.C.
Active
Organization
THOMAS S. SIEGEL, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS S. SIEGEL M.D. (OWNER)
(313) 593-0810
Entity
Organization
Contact information
Practice address
18181 OAKWOOD BLVD, SUITE 307, DEARBORN, MI 48124-5032
(313) 593-0810
(313) 593-3059
Mailing address
18181 OAKWOOD BLVD, SUITE 307, DEARBORN, MI 48124-5032
(313) 593-0810
(313) 593-3059
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
40981
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0822422
BLUE CARE NETWORK
MI
01
—
125238
CARE CHOICES
MI
01
—
4427034
AETNA
MI
01
—
82481
OMNICARE
MI
01
—
A74313
HAP
MI
01
—
C1656
M CARE
MI
Enumeration date
10/05/2006
Last updated
08/17/2018
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