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NPI Code Detail

MEDICARE: DR. ROBERT H SEALS DO

MEDICARE: DR. ROBERT H SEALS DO
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
1207R00000XInternal Medicine Physician5101009782MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110088793OTHERMIRAILROAD MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801862495
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT H SEALS DO
Provider Business Mailing Address
First Line : PO BOX 730
Second Line : 406 EAST ELM ST
City : CARSON CITY
State : MI
Zip : 48811
Country : US
Telephone Number : 989-584-3131
Fax Number : 989-584-6734
Provider Business Practice Location Address
First Line : 406 E ELM ST
Second Line : SUITE 100
City : CARSON CITY
State : MI
Zip : 48811-9693
Country : US
Telephone Number : 989-584-3832
Fax Number : 989-584-3116
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 01/25/2017

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