Provider Demographics
NPI:1316183692
Name:SIEGERT, CHRISTINE JANE (RRT)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:JANE
Last Name:SIEGERT
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Gender:F
Credentials:RRT
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Mailing Address - Street 1:2215 FULLER RD
Mailing Address - Street 2:111G
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2303
Mailing Address - Country:US
Mailing Address - Phone:734-845-5794
Mailing Address - Fax:734-845-3257
Practice Address - Street 1:2215 FULLER RD
Practice Address - Street 2:111G
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2303
Practice Address - Country:US
Practice Address - Phone:734-845-5794
Practice Address - Fax:734-845-3257
Is Sole Proprietor?:No
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4401000176227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered