Individual
DR. MICHAEL JOSEPH SIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
205 W BLACKSTOCK RD STE 150, SPARTANBURG, SC 29301-3205
(864) 574-8454
(864) 576-4748
Mailing address
1875 HAYNE ST UNIT 224, SPARTANBURG, SC 29301-5108
(305) 672-8513
(864) 576-4748
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1547
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D15473
—
SC
Enumeration date
06/12/2006
Last updated
08/20/2021
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