Individual
ERIC SIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3265 S. M-129, SAULT SAINTE MARIE, MI 49783
(906) 635-9347
(906) 635-1113
Mailing address
3265 S. M-129, SAULT SAINTE MARIE, MI 49783
(906) 635-9347
(906) 635-1113
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003938
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
944461338
—
MI
Enumeration date
09/14/2005
Last updated
02/28/2012
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