Individual
GREGORY TODD SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(636) 625-5200
Mailing address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.148091
IL
207P00000X
Emergency Medicine Physician
Primary
2022005665
MO
207P00000X
Emergency Medicine Physician
MD462234
PA
Other
Enumeration date
03/30/2015
Last updated
11/02/2022
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