Provider Demographics
NPI:1205815925
Name:SEIP, MICHAEL B (DO)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:B
Last Name:SEIP
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3638 E SOUTHERN AVE
Mailing Address - Street 2:STE C 108
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-2563
Mailing Address - Country:US
Mailing Address - Phone:480-834-0771
Mailing Address - Fax:480-834-1136
Practice Address - Street 1:3638 E SOUTHERN AVE
Practice Address - Street 2:STE C 108
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-2563
Practice Address - Country:US
Practice Address - Phone:480-834-0771
Practice Address - Fax:480-834-1136
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2015-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ2048207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ254087Medicaid
AZD47162Medicare UPIN