Individual
CHRISTA SIEBENBURGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3533 SOUTHERN BLVD, SUITE 2100, KETTERING, OH 45429-1264
(937) 395-8556
(937) 522-7873
Mailing address
3533 SOUTHERN BLVD, SUITE 2100, KETTERING, OH 45429-1264
(937) 395-8556
(937) 522-7873
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.128065
OH
2086S0102X
Surgical Critical Care Physician
35.128065
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165743
—
OH
Enumeration date
06/10/2010
Last updated
11/23/2020
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