Doctor Name: | JOLYN SEITZ |
NPI Number: | 1043453772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 56719 |
Business Practice Address: | 1300 Anne St Nw Bemidji, MN - 566015103 |
Business Phone Number: | 2187515430 |
Business Fax Number: | 2183334961 |
Mailing Address: | Po Box 2168, FARGO |
State: | ND |
Postal Code: | 581072168 |
Phone Number: | 7012342119 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2009 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 56719 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |