Individual
DR. PAUL ALAN SEIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
1307 ALBION AVE, STE. 102, FAIRMONT, MN 56031-1850
(507) 238-4228
(507) 238-4229
Mailing address
1307 ALBION AVE, STE. 102, FAIRMONT, MN 56031-1850
(507) 238-4228
(507) 238-4229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1701
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181060001
DMERC
MN
01
—
114324
UCARE
MN
05
—
147723400
—
MN
Enumeration date
12/02/2005
Last updated
06/13/2011
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