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Individual

W. L. GREGORY SIEFERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5129 DIXIE HWY STE 201, LOUISVILLE, KY 40216-1727
(502) 430-6223
(502) 792-7272
Mailing address
5129 DIXIE HWY STE 201, LOUISVILLE, KY 40216-1727
(502) 430-6223
(502) 792-7272

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-044005
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35-044005
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
46903
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2413338
OH
05
64087653
KY
Enumeration date
07/01/2006
Last updated
10/28/2019
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