Individual
DR. MARIANNE LAND SIEGRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10201 KRAUSE ROAD, CHESTERFIELD, VA 23832
(804) 748-6229
(804) 748-5909
Mailing address
PO BOX 247, MIDLOTHIAN, VA 23113
(804) 378-5010
(804) 378-3264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102037170
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
318871
ANTHEM BS
VA
Enumeration date
08/16/2006
Last updated
08/28/2007
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