Individual
MRS. CARRIE SUZANNE SEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 W 12 MILE RD, MADISON HEIGHTS, MI 48071-4439
(248) 543-0600
(248) 543-4720
Mailing address
1200 W 12 MILE RD, MADISON HEIGHTS, MI 48071-4439
(248) 543-0600
(248) 543-4720
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
L1855795
MI
Other
Enumeration date
09/22/2010
Last updated
09/29/2010
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