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Individual

MICHAEL P SIEGENTHALER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
705 E MARSHALL AVE, LONGVIEW, TX 75601-5573
(903) 315-2777
Mailing address
30 W MCCREIGHT AVE STE 106, SPRINGFIELD, OH 45504-1853
(937) 523-9825
(937) 523-9829

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L2653
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036842
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D0068474
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
L2653
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD430302
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
415096100
MD
Enumeration date
01/08/2007
Last updated
03/25/2026
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