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Individual

DR. ROSS FREDERICK SIEMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1414 W FAIR AVE, MARQUETTE, MI 49855-2675
(906) 225-3922
Mailing address
26374 NETWORK PL, CHICAGO, IL 60673-1263
(906) 225-3922

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
34682
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
315808000
MN
01
31903700
UCARE
MN
01
3622310
SELECT CARE
MN
01
4T906SI
BLUE CROSS BLUE SHIELD
MN
01
A03707
HEALTH PARTNERS
MN
Enumeration date
09/29/2006
Last updated
06/24/2013
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