Siegert, Theresa

Siegert, Theresa is an individual health care provider with primary practice located at 12300 N Port Washington Rd , Mequon WI 53092-3339. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as her primary health care specialty. Siegert, Theresa can be contacted via phone (262) 243-5400.

Contact Information

Primary practice address
12300 N Port Washington Rd Mequon WI 53092-3339
Fax: (262) 243-6005
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 25432 Wisconsin

Profile Details

NPI number 1295706695
LBN Legal business name Siegert, Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1295706695 NPPES
Wisconsin MEDICAID 31544100

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