# PAOLA M SEIDEL M D PLLC

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

## Provider details

- **NPI number:** 1912401001
- **Authorized official:** PAOLA M SEIDEL MD (PROVIDER)
- **Authorized official phone:** (248) 850-7068

## Contact information

- **Practice address:** 2615 W 12 MILE RD, BERKLEY, MI 48072-1627
- **Practice address phone:** (248) 850-7068
- **Practice address fax:** (248) 850-7112
- **Mailing address:** 2615 W 12 MILE RD, BERKLEY, MI 48072-1627
- **Mailing address phone:** (248) 850-7068
- **Mailing address fax:** (248) 850-7112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301058096 | MI | Yes |

## Other

- **Enumeration date:** 03/22/2018
- **Last updated:** 04/17/2024