Individual
DR. NEIL WARREN SIECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7320 216TH ST SW, STE. 210, EDMONDS, WA 98026-8006
(425) 744-1777
(425) 177-4179
Mailing address
7320 216TH ST SW, STE 210, EDMONDS, WA 98026-8006
(425) 744-1777
(425) 744-1790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A72063
CA
207RC0000X
Cardiovascular Disease Physician
A72063
CA
207RC0000X
Cardiovascular Disease Physician
Primary
MD46909
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A720630
—
CA
Enumeration date
05/17/2006
Last updated
10/07/2020
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