Individual
MICHAEL JOHN SEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D., F.A.C.R
Contact information
Practice address
2376 BENDEN DR, WOOSTER, OH 44691-2570
(330) 262-6060
(330) 262-5572
Mailing address
2376 BENDEN DR, WOOSTER, OH 44691-2570
(330) 262-6060
(330) 262-5572
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35-055170
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665776
—
OH
Enumeration date
11/07/2005
Last updated
11/17/2017
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