Provider Demographics
NPI:1023207578
Name:SECK AND SECK DO
Entity Type:Organization
Organization Name:SECK AND SECK DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:SECK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:989-426-0810
Mailing Address - Street 1:230 E CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:GLADWIN
Mailing Address - State:MI
Mailing Address - Zip Code:48624-2208
Mailing Address - Country:US
Mailing Address - Phone:989-426-0810
Mailing Address - Fax:989-426-1168
Practice Address - Street 1:230 E CEDAR AVE
Practice Address - Street 2:
Practice Address - City:GLADWIN
Practice Address - State:MI
Practice Address - Zip Code:48624-2208
Practice Address - Country:US
Practice Address - Phone:989-426-0810
Practice Address - Fax:989-426-1168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FS009758207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0B66045OtherBCBS
MI0B66045OtherBCBS