Individual
COLBY J SEEGMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 THEDA CLARK MEDICAL PLZ STE 400, NEENAH, WI 54956-2763
(920) 725-4527
(920) 725-4527
Mailing address
100 THEDA CLARK MEDICAL PLZ STE 400, NEENAH, WI 54956-2763
(920) 725-4527
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
67830-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336558832
—
WI
Enumeration date
08/08/2014
Last updated
12/27/2021
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