Individual
MARTIN EDWIN THOMAS SIEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2012018817
MO
2084P0800X
Psychiatry Physician
Primary
64951-20
WI
Other
Enumeration date
06/29/2012
Last updated
09/30/2021
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