MEDICARE: DR. MARIE R SEILER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	158106	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760550974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIE R SEILER MD

Provider Business Mailing Address
First Line	:	7111 NORTH MAIN ST
Second Line	:	SUITE 50
City	:	DAYTON
State	:	OH
Zip	:	45415-2565
Country	:	US
Telephone Number	:	937-277-6595
Fax Number	:	937-277-6998

Provider Business Practice Location Address
First Line	:	7111 NORTH MAIN ST
Second Line	:	SUITE 50
City	:	DAYTON
State	:	OH
Zip	:	45415-2565
Country	:	US
Telephone Number	:	937-277-6595
Fax Number	:	937-277-6998

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/29/2013

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