Individual
MR. MICHAEL SIEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7442
Mailing address
16427 TONKEL RD, LEO, IN 46765-9567
(260) 435-7442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014397
IN
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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