Individual
MARK G. SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10887 SCHLOTTMAN RD, LOVELAND, OH 45140-6639
(513) 659-0183
Mailing address
10887 SCHLOTTMAN RD, LOVELAND, OH 45140-6639
(135) 659-0183
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
21932
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
46440
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
772874
—
OH
Enumeration date
06/14/2005
Last updated
12/20/2022
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