MEDICARE: DR. ADRIAN S. SEAH M.D.

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	390200000X	Student in an Organized Health Care Education/Training Program
2	208600000X	Surgery Physician	4301104119	MI

General Provider Information

NPI Number	:	1306966908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADRIAN S. SEAH M.D.

Provider Business Mailing Address
First Line	:	1221 SIXTH ST
Second Line	:	SUITE 306
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-2701
Country	:	US
Telephone Number	:	231-935-2400
Fax Number	:	231-935-2424

Provider Business Practice Location Address
First Line	:	1221 SIXTH ST
Second Line	:	SUITE 306
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-2701
Country	:	US
Telephone Number	:	231-935-2400
Fax Number	:	231-935-2424

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	09/30/2013

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