MEDICARE: MICHELLE SEIZYS 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	207R00000X	Internal Medicine Physician	19922	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19922	OTHER	NE	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831192491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE SEIZYS MD

Provider Business Mailing Address
First Line	:	2115 N KANSAS AVE
Second Line	:	STE 105A
City	:	HASTINGS
State	:	NE
Zip	:	68901-2615
Country	:	US
Telephone Number	:	402-463-2454
Fax Number	:	402-463-2450

Provider Business Practice Location Address
First Line	:	2115 N KANSAS AVE
Second Line	:	STE 105A
City	:	HASTINGS
State	:	NE
Zip	:	68901-2615
Country	:	US
Telephone Number	:	402-463-2454
Fax Number	:	402-463-2450

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	01/17/2012

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Directions to “ MICHELLE SEIZYS MD” Practice Location

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