Provider Demographics
NPI:1205801115
Name:SEEMANN, CHRISTEL LYNN (DO)
Entity type:Individual
Prefix:
First Name:CHRISTEL
Middle Name:LYNN
Last Name:SEEMANN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 W KIMBERLY RD
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52806-3059
Mailing Address - Country:US
Mailing Address - Phone:563-421-0180
Mailing Address - Fax:563-421-0189
Practice Address - Street 1:210 W 53RD ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-2251
Practice Address - Country:US
Practice Address - Phone:563-386-3436
Practice Address - Fax:563-386-3211
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA3484207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2298554Medicaid
IA2298554Medicaid
IAI16780Medicare ID - Type Unspecified