Individual
GARY M SELTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 LAKEVIEW DR, GOSHEN, IN 46528-9365
(574) 533-1234
(574) 537-2652
Mailing address
330 LAKEVIEW DR, GOSHEN, IN 46528-9365
(574) 533-1234
(574) 537-2652
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01041988A
IN
2084P0805X
Geriatric Psychiatry Physician
Primary
01041988A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000081163
ANTHEM
IN
05
—
100383830
—
IN
01
—
260032229
RAILROAD MEDICARE PIN
IN
Enumeration date
06/15/2006
Last updated
08/24/2011
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