Individual
SAMANTHA SEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1701 N SPRING ST, BEAVER DAM, WI 53916-1178
(920) 644-0317
(920) 644-0318
Mailing address
1701 N SPRING ST, BEAVER DAM, WI 53916-1178
(920) 644-0317
(920) 644-0318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.015080
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2019
Last updated
08/13/2024
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