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Organization
SERVICE MEDICAL
Active
Organization
SERVICE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY SIEPEL (MEDICAL DOCTOR)
(716) 592-7400
Entity
Organization
Contact information
Practice address
27 FRANKLIN ST, SPRINGVILLE, NY 14141-1314
(716) 592-7400
(716) 592-7519
Mailing address
27 FRANKLIN ST, SPRINGVILLE, NY 14141-1314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010878
NY
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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