Healthcare Provider Details

I. General information

NPI: 1366448219
Provider Name (Legal Business Name): FRANK E SEIDELMANN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 08/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 SURFSONG RD
KIAWAH ISLAND SC
29455-5706
US

IV. Provider business mailing address

3700 PARK EAST DR SUITE #300
BEACHWOOD OH
44122-4305
US

V. Phone/Fax

Practice location:
  • Phone: 855-292-1401
  • Fax: 866-396-8340
Mailing address:
  • Phone: 855-292-1401
  • Fax: 866-396-8340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number34002127
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: