Provider Demographics
NPI:1053309880
Name:SEALS, EUGENE OAKIE (MD)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:OAKIE
Last Name:SEALS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 HOUGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-5303
Mailing Address - Country:US
Mailing Address - Phone:989-583-6800
Mailing Address - Fax:989-583-6955
Practice Address - Street 1:1575 CONCENTRIC BLVD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-9312
Practice Address - Country:US
Practice Address - Phone:989-583-6800
Practice Address - Fax:989-583-6955
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301060692207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
102552OtherGREAT LAKES HEALTH PLAN
MI0982444OtherHEALTHPLUS OF MICHIGAN
1012085OtherMCLAREN HEALTH PLAN
381908328OtherTRICARE
MIP90583OtherBLUE CARE NETWORK
1012085OtherHEALTH ADVANTAGE PPO
MI080G310660OtherBCBS
MI303OtherCOMMUNITY CHOICE
381908328OtherPPOM
MI4686650Medicaid
381908328OtherHCAP
MI4686650OtherMOLINA HEALTH CARE OF MI
7729026OtherAETNA
MIP90583OtherBLUE CARE NETWORK
MI4686650OtherMOLINA HEALTH CARE OF MI
1012085OtherHEALTH ADVANTAGE PPO