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Individual

DR. GEOFFREY K SEIDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
43555 DALCOMA DR, SUITE 4, CLINTON TOWNSHIP, MI 48038-6310
(586) 228-2882
(586) 463-7152
Mailing address
43555 DALCOMA DR, SUITE 4, CLINTON TOWNSHIP, MI 48038-6310
(586) 228-2882
(586) 463-7152

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4391954762
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107664
CARE CHOICES-PREFERRED
MI
05
1792650
MI
01
250011835
RAILROAD MEDICARE
01
2505015251
BCN
MI
01
C6877
M-CARE
MI
01
GS054872
BCBSM
MI
Enumeration date
07/11/2005
Last updated
11/19/2009
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