Individual
STEVEN WILLIAM SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6025 LAKE RD, SUITE 200, WOODBURY, MN 55125-1712
(651) 999-6800
(651) 999-6800
Mailing address
6025 LAKE RD, SUITE 200, WOODBURY, MN 55125-1712
(651) 999-6800
(651) 999-6800
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
36114
MN
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
36114
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651862100
—
MN
Enumeration date
10/04/2005
Last updated
09/15/2014
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