# THOMAS S. SIEGEL, M.D.P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023104973
- **Authorized official:** THOMAS S. SIEGEL M.D. (OWNER)
- **Authorized official phone:** (313) 593-0810

## Contact information

- **Practice address:** 18181 OAKWOOD BLVD, SUITE 307, DEARBORN, MI 48124-5032
- **Practice address phone:** (313) 593-0810
- **Practice address fax:** (313) 593-3059
- **Mailing address:** 18181 OAKWOOD BLVD, SUITE 307, DEARBORN, MI 48124-5032
- **Mailing address phone:** (313) 593-0810
- **Mailing address fax:** (313) 593-3059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 40981 | MI | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/17/2018

## 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 |