Individual
CHRISTIAN C. SIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 N PORTER AVE, SUITE 300, NORMAN, OK 73071-6400
(405) 329-0121
(405) 292-6099
Mailing address
950 N PORTER AVE, SUITE 300, NORMAN, OK 73071-6400
(405) 329-0121
(405) 292-6099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19870
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080128650
RAILROAD MEDICARE
OK
05
—
100228010C
—
OK
01
—
5173636
AETNA EDI
OK
Enumeration date
08/17/2005
Last updated
07/14/2010
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