Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 4301094371 | MI |
Y | 207X00000X | Orthopaedic Surgeon | MD452143 | PA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | MT205542 | PA |
NPI | 1891922894 |
---|---|
Provider Name | Mark Seeley |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-8029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2009 |
Last Update Date | 27/08/2020 |