Individual
DR. SUSAN E SIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1631 4TH ST SW STE 114B, MASON CITY, IA 50401-1612
(641) 428-6000
(641) 428-6007
Mailing address
621 S ILLINOIS AVE STE 103, MASON CITY, IA 50401-5489
(641) 428-3041
(641) 428-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27924
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06046
WELLMARK
IA
05
—
1026328
—
IA
Enumeration date
09/01/2006
Last updated
08/30/2021
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