Provider Demographics
NPI:1801862495
Name:SEALS, ROBERT H (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:SEALS
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Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 730
Mailing Address - Street 2:406 EAST ELM ST
Mailing Address - City:CARSON CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48811
Mailing Address - Country:US
Mailing Address - Phone:989-584-3131
Mailing Address - Fax:989-584-6734
Practice Address - Street 1:406 E ELM ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CARSON CITY
Practice Address - State:MI
Practice Address - Zip Code:48811-9693
Practice Address - Country:US
Practice Address - Phone:989-584-3832
Practice Address - Fax:989-584-3116
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2017-01-25
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Provider Licenses
StateLicense IDTaxonomies
MI5101009782207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI110088793OtherRAILROAD MEDICARE PTAN
MI3111916Medicaid
E26687Medicare UPIN
MI3111916Medicaid