Doctor Name: | MR. ROBERT K SEIDEL |
NPI Number: | 1831178516 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35-03-8098-S |
Business Practice Address: | 3624 W Market St Ste 103 Fairlawn, OH - 443334510 |
Business Phone Number: | 3306654430 |
Business Fax Number: | 3306669012 |
Mailing Address: | 24701 Euclid Ave, Third Floor - Billing Services EUCLID |
State: | OH |
Postal Code: | 441171714 |
Phone Number: | 3306654430 |
Fax Number: | 3306669012 |
NPI Enumeration Date: | 01/11/2006 |
NPI Last Update Date: | 04/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35-03-8098-S |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |