Doctor Name: | DR. PERCIVAL D SEAWARD |
NPI Number: | 1396040796 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD FACS |
License Number: | 35045889 |
Business Practice Address: | 2931 Forest Lake Dr Westlake Westlake, OH - 441451783 |
Business Phone Number: | 4408999936 |
Business Fax Number: | |
Mailing Address: | 2931 Forest Lake Dr, Westlake WESTLAKE |
State: | OH |
Postal Code: | 441451783 |
Phone Number: | 4408999936 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2011 |
NPI Last Update Date: | 01/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35045889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |