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NPI Code Detail

MEDICARE: MARI SEIDLER

MEDICARE: MARI SEIDLER
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
1363A00000XPhysician AssistantWI

General Provider Information

NPI Number : 1467307652
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARI SEIDLER
Provider Business Mailing Address
First Line : 4815 CANVASBACK CIR
Second Line :
City : APPLETON
State : WI
Zip : 54913-8004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 750 HIGHLAND AVE
Second Line :
City : MADISON
State : WI
Zip : 53705-2221
Country : US
Telephone Number : 920-757-0904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ MARI SEIDLER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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