Healthcare Provider Details

I. General information

NPI: 1124128608
Provider Name (Legal Business Name): HUBERT L SEILER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 03/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 3RD AVE SW
RUGBY ND
58368-1645
US

IV. Provider business mailing address

800 3RD AVE SW
RUGBY ND
58368-1645
US

V. Phone/Fax

Practice location:
  • Phone: 701-776-5235
  • Fax: 701-776-5297
Mailing address:
  • Phone: 701-776-5235
  • Fax: 701-776-5297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number3369
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: