Individual
DR. MICHAEL JASON SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29201 TELEGRAPH ROAD, SUITE 301, SOUTHFIELD, MI 48034-7646
(248) 356-0098
(248) 356-0424
Mailing address
29201 TELEGRAPH ROAD, SUITE 301, SOUTHFIELD, MI 48034-7646
(248) 356-0098
(248) 356-0424
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301095046
MI
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
4301095046
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811217912
—
MI
Enumeration date
06/11/2010
Last updated
08/17/2020
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