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Individual

DONALD L SEIDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4602 MACCORKLE AVE SE, CHARLESTON, WV 25304-1848
(304) 925-4777
(304) 925-4870
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7783
(304) 388-7788

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21998
WV
207Q00000X
Family Medicine Physician
Primary
21998
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010400000
WV
05
3810003612
WV
05
3810006527
WV
01
P00261725
RAILROAD MEDICARE
Enumeration date
10/13/2005
Last updated
12/10/2014
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