Individual
MS. MARIA THERESE SEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 396-2301
Mailing address
1910 MARGIE DR, WHITE LAKE, MI 48386-1830
(317) 600-6010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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