Individual
DEANNA MARIA SIEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2685 EAST MAIN, STE A, JACKSON, MO 63755
(573) 204-1400
(573) 204-1480
Mailing address
2685 EAST MAIN, STE A, JACKSON, MO 63755
(573) 204-1400
(573) 204-1480
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
106442
MO
207V00000X
Obstetrics & Gynecology Physician
106442
MO
261QR1300X
Rural Health Clinic/Center
106442
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109627
BCBS
MO
05
—
208495622
—
MO
01
—
331735
HEALTHLINK
MO
Enumeration date
03/06/2006
Last updated
10/07/2010
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