Siegel, Marc J

Siegel, Marc J is an individual health care provider with primary practice located at 29201 Telegraph Rd Suite 301, Southfield MI 48034-1331. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Siegel, Marc J can be contacted via phone (248) 356-0098.

Contact Information

Primary practice address
29201 Telegraph Rd Suite 301 Southfield MI 48034-1331
Phone: (248) 356-0098
Fax: (248) 356-0424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 4301053873 Michigan
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301053873 Michigan

Profile Details

NPI number 1740265461
LBN Legal business name Siegel, Marc J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Feb 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740265461 NPPES
Michigan MEDICAID 2716035

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