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NPI Code Detail

MEDICARE: MICHAEL SIEGENTHALER MD

MEDICARE: MICHAEL SIEGENTHALER 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
1207Q00000XFamily Medicine Physician293003NY

General Provider Information

NPI Number : 1639550460
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL SIEGENTHALER MD
Provider Business Mailing Address
First Line : 7137 MT PLEASANT RD
Second Line :
City : CANASTOTA
State : NY
Zip : 13032-5024
Country : US
Telephone Number : 315-697-2033
Fax Number : 315-697-9175
Provider Business Practice Location Address
First Line : 7137 MT PLEASANT RD
Second Line :
City : CANASTOTA
State : NY
Zip : 13032-5024
Country : US
Telephone Number : 315-697-2033
Fax Number : 315-697-9175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2015
Last Update Date : 09/16/2021

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