Provider Demographics
NPI:1750594040
Name:SEIBERT, MEGAN L (MD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:L
Last Name:SEIBERT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4860 FRANK RD NW
Mailing Address - Street 2:FAMILY PHYSICIANS, INC
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7426
Mailing Address - Country:US
Mailing Address - Phone:330-494-7099
Mailing Address - Fax:330-494-2147
Practice Address - Street 1:4860 FRANK RD NW
Practice Address - Street 2:FAMILY PHYSICIANS, INC
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7426
Practice Address - Country:US
Practice Address - Phone:330-494-7099
Practice Address - Fax:330-494-2147
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2016-10-28
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Provider Licenses
StateLicense IDTaxonomies
OH35090808207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2864931Medicaid
SE4237681Medicare PIN