Jack Siebenaler II Md, INC

NPI #1255514873 in Oregon, Ohio

Provider Information

NPI Number
1255514873
Entity Type
Organization
Organization Name
Jack Siebenaler II Md, INC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Dec 6, 2007
Last Updated
Feb 22, 2012

Practice Location

Address
3232 NAVARRE AVE
City
Oregon
State
Ohio
ZIP Code
43616-3312
Phone
(419) 691-0636

Authorized Official

Name
DR. JACK G SIEBENALER II, MD
Title
OWNER
Phone
(419) 691-0636

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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