Healthcare Provider Details

I. General information

NPI: 1053314948
Provider Name (Legal Business Name): DAVID HOWARD SEAMAN M.D. P.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S CANTON CENTER RD STE 360
CANTON MI
48188-0004
US

IV. Provider business mailing address

1600 S CANTON CENTER RD STE 360
CANTON MI
48188-0004
US

V. Phone/Fax

Practice location:
  • Phone: 734-394-2661
  • Fax: 734-394-2666
Mailing address:
  • Phone: 734-394-2661
  • Fax: 734-394-2666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberDS035548
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: