Healthcare Provider Details

I. General information

NPI: 1528529807
Provider Name (Legal Business Name): ANDREW JAMES SEIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 E DISCOVERY PKWY
BLOOMINGTON IN
47408-9059
US

IV. Provider business mailing address

55 ANGLE RD APT 7
WEST SENECA NY
14224-4388
US

V. Phone/Fax

Practice location:
  • Phone: 812-676-4102
  • Fax: 812-676-4106
Mailing address:
  • Phone: 716-907-1967
  • Fax: 716-221-2120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number316135
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01089753A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: