Individual
JORDAN M SIEWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2100 W CENTRAL AVE, #200, TOLEDO, OH 43606-3800
(419) 291-2051
(419) 479-6952
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-1531
(419) 291-8701
(419) 479-3298
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34012356
OH
207Q00000X
Family Medicine Physician
5101025751
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2014
Last updated
11/03/2023
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