Individual
ALAN SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4251 CASCADE ROAD SE, GRAND RAPIDS, MI 49546
(616) 940-3168
(616) 940-3352
Mailing address
4251 CASCADE ROAD SE, GRAND RAPIDS, MI 49546
(616) 940-3168
(616) 940-3352
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301024208
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215152
—
MI
01
—
350D16208
BCBS MICHIGAN
MI
Enumeration date
09/19/2006
Last updated
07/08/2007
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