Marvin David Siegel, MD | |
1095 W Huron St, Waterford, MI 48328-3735 | |
(248) 682-9611 | |
(248) 682-6051 |
Full Name | Marvin David Siegel |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 1095 W Huron St, Waterford, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003905712 | NPI | - | NPPES |
1007570 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MS023222 (Michigan) | Primary |
Entity Name | Marvin D. Siegel, M.d., P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932248317 PECOS PAC ID: 6507955101 Enrollment ID: O20071205000137 |
Mailing Address | Practice Location Address |
---|---|
Marvin David Siegel, MD 1095 W Huron St, Waterford, MI 48328-3735 Ph: (248) 682-9611 | Marvin David Siegel, MD 1095 W Huron St, Waterford, MI 48328-3735 Ph: (248) 682-9611 |
Michael Tobin Siegel, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1095 W Huron St, Waterford, MI 48328 Phone: 248-682-9611 Fax: 248-682-6051 | |
Dr. Brittany Valk, DO Dermatology Medicare: Medicare Enrolled Practice Location: 1392 S Cass Lake Rd, Waterford, MI 48328 Phone: 248-338-6400 | |
Dr. Cory Joshua Rubin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2665 Elizabeth Lake Rd, Waterford, MI 48328 Phone: 248-681-9541 Fax: 248-681-9581 |