Doctor Name: | MICHAEL W. SEIBERG |
NPI Number: | 1083627558 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | E3856 |
Business Practice Address: | 39000 Bob Hope Dr Harry & Diane Rinker Building Rancho Mirage, CA - 922703221 |
Business Phone Number: | 7605682684 |
Business Fax Number: | 7608372247 |
Mailing Address: | Po Box 1810, RANCHO MIRAGE |
State: | CA |
Postal Code: | 922701059 |
Phone Number: | 7605682684 |
Fax Number: | 7608372247 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | E3856 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |