NPI 1104915875

Michael Tobin Siegel, MD

Practitioner Dermatology Physician Waterford, MI

Practice location

Address: 1095 W Huron St, Waterford, MI 48328-3735
Phone: (248) 682-9611
Fax: (248) 682-6051

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MS407369 (MI)

Other Dermatology providers in Michigan →

Registry record

NPI: 1104915875
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2006
Record last updated: 24 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.