Individual
THERESA SIEGERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12300 N PORT WASHINGTON RD, MEQUON, WI 53092-3339
(262) 243-5400
(262) 243-6005
Mailing address
12300 N PORT WASHINGTON RD, MEQUON, WI 53092-3339
(262) 243-5400
(262) 243-6005
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
25432
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31544100
—
WI
Enumeration date
02/01/2006
Last updated
07/08/2007
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