Individual
ROBERT WILLIAM SEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7083 WEST 48TH ST, FREMONT, MI 49412
(231) 924-9507
(231) 924-9548
Mailing address
1495 MARILYN AVE, LUDINGTON, MI 04102
(231) 843-1562
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003237
MI
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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