Individual
NEIL SIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2463 SOUTH M-30, WEST BRANCH, MI 48661
(989) 345-3660
Mailing address
927 W WRIGHT ST, WEST BRANCH, MI 48661-9309
(989) 345-3169
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
117904
NY
207P00000X
Emergency Medicine Physician
Primary
4301034792
MI
207P00000X
Emergency Medicine Physician
F2958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689699076
BCBS MI
MI
05
—
1689699076
—
MI
05
—
3474805
—
MI
01
—
NS034792
BLUE SHIELD
MI
Enumeration date
07/13/2006
Last updated
12/03/2010
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