Organization
SEIDEL MARTIN PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L POWELL RHIT, CCS-P (CREDENTIALING COORDINATOR)
(256) 734-2572
Entity
Organization
Contact information
Practice address
1919 DAHLKE DR, CULLMAN, AL 35058-3626
(256) 739-9993
Mailing address
PO BOX 870, CULLMAN, AL 35056-0870
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF2573
RAILROAD MEDICARE
AL
Enumeration date
07/02/2006
Last updated
04/27/2026
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