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NPI Code Detail

MEDICARE: DAVID B SIEPMANN MD

MEDICARE:   DAVID B SIEPMANN  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
12085R0202XDiagnostic Radiology Physician47854WI
22085R0202XDiagnostic Radiology PhysicianMD25751OR

Other Identifiers

General Provider Information

NPI Number : 1841269750
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID B SIEPMANN MD
Provider Business Mailing Address
First Line : PO BOX 516
Second Line :
City : CORVALLIS
State : OR
Zip : 97339-0516
Country : US
Telephone Number : 541-758-5047
Fax Number : 541-758-3713
Provider Business Practice Location Address
First Line : 2700 SE STRATUS AVE
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-6255
Country : US
Telephone Number : 503-472-6131
Fax Number : 503-474-9854
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 12/20/2024

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Directions to “ DAVID B SIEPMANN MD” Practice Location

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