Individual
SANDRA S SIELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
385 3RD ST, MANISTEE, MI 49660-1718
(877) 398-2013
(231) 723-1735
Mailing address
299 HUGHES ST, MANISTEE, MI 49660-2609
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704208719
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704208719
STATE OF MICHIGAN LICENSE
MI
Enumeration date
02/15/2008
Last updated
02/15/2008
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