Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | D0068474 | MD |
N | 208G00000X | Cardiothoracic Vascular Surgeon | MD430302 | PA |
NPI | 1093863532 |
---|---|
Provider Name | Michael P Siegenthaler |
First Address | Baltimore, MD 21279-1372 |
Second Address | Bethesda, MD 20814-1422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 09/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
415096100 | (05) | MD |