Individual
DR. ERIC M. SIEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, SUITE 315, MILWAUKEE, WI 53215-3677
(414) 385-2592
(414) 385-2591
Mailing address
2901 W KINNICKINNIC RIVER PKWY, SUITE 315, MILWAUKEE, WI 53215-3677
(414) 649-5646
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
45548
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760436158
—
WI
01
—
P00467335
RR MEDICARE
WI
Enumeration date
05/20/2006
Last updated
11/23/2021
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