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Individual

LOUISE A SIEBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MS

Contact information

Practice address
3838 W 150TH ST, METROHEALTH WEST PARK MEDICAL BLDG, CLEVELAND, OH 44111-5805
(216) 957-5000
Mailing address
3838 W 150TH ST, METROHEALTH WEST PARK MEDICAL BLDG, CLEVELAND, OH 44111-5805
(216) 957-5000

Taxonomy

Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
35061730
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0871561
OH
Enumeration date
07/04/2006
Last updated
07/08/2007
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