Individual
MARVIN DAVID SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1095 W HURON ST, WATERFORD, MI 48328-3735
(248) 682-9611
(248) 682-6051
Mailing address
1095 W HURON ST, WATERFORD, MI 48328-3735
(248) 682-9611
(248) 682-6051
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MS023222
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007570
—
MI
Enumeration date
10/12/2006
Last updated
01/28/2008
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