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Individual

JUSTIN C SIEBLER

Active
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Individual

JUSTIN C SIEBLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25574
NE
207X00000X
Orthopaedic Surgery Physician
ME103289
FL
207XX0801X
Orthopaedic Trauma Physician
25574
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00816000
FL
01
21005
BCBS
FL
01
329933
AVMED
FL
01
3340485
CIGNA
FL
01
9611305
AETNA
FL
01
P00822317
MEDICARE RAILROAD
FL
Enumeration date
04/22/2007
Last updated
04/16/2018
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