Provider Demographics
NPI:1972659183
Name:SIEBUHR, KARL FRANK (MD)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:FRANK
Last Name:SIEBUHR
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 1:1500 SE MAGNOLIA EXT STE 104
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4452
Mailing Address - Country:US
Mailing Address - Phone:524-560-2203
Mailing Address - Fax:833-520-5009
Practice Address - Street 1:1500 SE MAGNOLIA EXT STE 104
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4452
Practice Address - Country:US
Practice Address - Phone:352-456-0220
Practice Address - Fax:833-520-5009
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.089154207X00000X
FLME133499207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery