Siewert, Steven P

Siewert, Steven P is an individual health care provider with primary practice located at 251 E Cottage Grove Rd , Cottage Grove WI 53527-9619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Siewert, Steven P can be contacted via phone (608) 839-3515.

Contact Information

Primary practice address
251 E Cottage Grove Rd Cottage Grove WI 53527-9619
Fax: (608) 839-3541
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39206 Wisconsin

Profile Details

NPI number 1861442931
LBN Legal business name Siewert, Steven P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Nov 2nd, 2020 - about 5 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 1861442931 NPPES
Wisconsin MEDICAID 32361700

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