Individual
LAURA ELIZABETH SEIVERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 9TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL, ANN ARBOR, MI 48109-4256
(734) 763-5302
(734) 647-5624
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704242112
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4699120
—
MI
Enumeration date
04/02/2007
Last updated
05/24/2013
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