Individual
MR. ROBERT MICHAEL SIEBENALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
2504 S CHICAGO ST, FAIRCHILD AFB, WA 99011-8548
(509) 247-5414
Mailing address
12307 W 10TH AVE, AIRWAY HEIGHTS, WA 99001-9049
(301) 332-2364
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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