Provider Demographics
NPI:1902814114
Name:SEEL, MICHAEL JUDE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JUDE
Last Name:SEEL
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 1:1771 TATE BLVD SE STE 101
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-4250
Mailing Address - Country:US
Mailing Address - Phone:828-315-5110
Mailing Address - Fax:828-315-3911
Practice Address - Street 1:1771 TATE BLVD SE STE 101
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4250
Practice Address - Country:US
Practice Address - Phone:828-315-5110
Practice Address - Fax:828-315-3911
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD060967L207X00000X
NC2021-02948207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1805927000Medicaid
OH2241069Medicaid
PA0016388650006Medicaid
PA737000NH3Medicare PIN
WV1805927000Medicaid
PA0016388650006Medicaid