Individual
MATTHEW SIEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
500 W VOTAW ST, PORTLAND, IN 47371-1322
(260) 726-7131
Mailing address
500 W VOTAW ST, PORTLAND, IN 47371-1322
(260) 726-7131
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
71007344A
IN
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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