MEDICARE: ANNETTE MARIA SEILER MD

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	208600000X	Surgery Physician	A84474	CA
2	207Q00000X	Family Medicine Physician	A84474	CA

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	:	1629008339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE MARIA SEILER MD

Provider Business Mailing Address
First Line	:	4722 QUAIL LAKES DR
Second Line	:	SUITE A
City	:	STOCKTON
State	:	CA
Zip	:	95207-5256
Country	:	US
Telephone Number	:	209-476-0675
Fax Number	:	209-476-9389

Provider Business Practice Location Address
First Line	:	4722 QUAIL LAKES DR
Second Line	:	SUITE A
City	:	STOCKTON
State	:	CA
Zip	:	95207-5256
Country	:	US
Telephone Number	:	209-476-0675
Fax Number	:	209-476-9389

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

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	11/04/2015

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