Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 52707 | MN |
N | 208600000X | Surgeon | 52707 | MN |
N | 208200000X | Surgeon | 59874 | WI |
N | 208600000X | Surgeon | 59874 | WI |
N | 208200000X | Surgeon | G084134 | CA |
N | 208600000X | Surgeon | G084134 | CA |
Y | 2086X0206X | Surgical Oncologist | 59874 | WI |
NPI | 1386665974 |
---|---|
Provider Name | Anna Sanchez Seydel |
First Address | Marshfield, WI 54449-5703 |
Second Address | Marshfield, WI 54449-5703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 22/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G841340 | (05) | CA |