Individual
MR. ROBERT K SEIDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2406 E. EMPIRE ST., BLOOMINGTON, IL 61704
(309) 663-9300
(309) 661-1670
Mailing address
2406 E. EMPIRE ST., BLOOMINGTON, IL 61704
(309) 663-9300
(309) 661-1670
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-092373
IL
207X00000X
Orthopaedic Surgery Physician
036092373
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533210001
DMERC
IL
01
—
200025639
RAILROAD
IL
Enumeration date
08/30/2006
Last updated
03/16/2010
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