MEDICARE: GEORGE SAMUEL SEHL DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	0600	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194806448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE SAMUEL SEHL DPM

Provider Business Mailing Address
First Line	:	805 S GILBERT ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-1742
Country	:	US
Telephone Number	:	319-337-2021
Fax Number	:	319-337-8411

Provider Business Practice Location Address
First Line	:	805 S GILBERT ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-1742
Country	:	US
Telephone Number	:	319-337-2021
Fax Number	:	319-337-8411

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	07/08/2007

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