Individual
DR. TIMOTHY S. SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 REID PKWY STE 325, UROLOGICAL CARE, RICHMOND, IN 47374-1161
(765) 962-8551
(765) 962-2591
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 962-8551
(765) 962-2591
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01057715A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000683465
ANTHEM
IN
05
—
200443830
—
IN
Enumeration date
11/09/2005
Last updated
05/18/2021
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