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General NPI Number Information
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NPI Number | 1881072254
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Entity Type | Individual
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Provider Name | PETER JOSEPH SEILER D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2015
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 4013 N RIDGE RD STE 220
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City | WICHITA
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State | KS
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Zip | 67205-8823
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Country | US
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Telephone | 166-650-6103
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 MADISON AVE STE 352
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City | MANKATO
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State | MN
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Zip | 56001-4458
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 65184
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License Number State | MN
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