Individual
DR. MICHAEL SCOTT SELIGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4343 PAN AMERICAN FWY NE, STE. 224, ALBUQUERQUE, NM 87107
(505) 344-5400
(505) 344-5404
Mailing address
4343 PAN AMERICAN FWY NE., STE. 224, ALBUQUERQUE, NM 87107
(505) 344-5400
(505) 344-5404
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD2004-0206
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM009P09
BLUECROSS PIN #
NM
05
—
07452241
—
NM
01
—
200660971
TAX ID #
NM
01
—
84633
PRESBYTERIAN PIN #
NM
01
—
P00223906
RAILROAD MEDICARE PIN #
NM
Enumeration date
06/09/2006
Last updated
02/24/2017
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