Individual
DR. MARC J SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29201 TELEGRAPH RD, SUITE 301, SOUTHFIELD, MI 48034-1331
(248) 356-0098
(248) 356-0424
Mailing address
29201 TELEGRAPH RD, SUITE 301, SOUTHFIELD, MI 48034-1331
(248) 356-0098
(248) 356-0424
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301053873
MI
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
4301053873
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2716035
—
MI
Enumeration date
12/15/2005
Last updated
02/17/2022
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