Organization
GERIATRIC PHYSICIAN STAFFING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP W SIEMER MD (PHYSICIAN)
(231) 271-5990
Entity
Organization
Contact information
Practice address
124 W FOURTH ST, SUTTONS BAY, MI 49682-9733
(231) 271-1200
(231) 271-5959
Mailing address
2700 N SETTERBO RD, SUTTONS BAY, MI 49682-9391
(231) 271-5990
(231) 271-5959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301051573
MI
314000000X
Skilled Nursing Facility
Primary
4301051573
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588612972
—
MI
Enumeration date
07/19/2012
Last updated
07/19/2012
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