Provider Demographics
NPI:1386083053
Name:SEEDIAL, STEPHEN MICHEL (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MICHEL
Last Name:SEEDIAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5333 MCAULEY DR
Mailing Address - Street 2:SUITE 6016
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1014
Mailing Address - Country:US
Mailing Address - Phone:734-712-8350
Mailing Address - Fax:734-712-8351
Practice Address - Street 1:5333 MCAULEY DR
Practice Address - Street 2:SUITE 6016
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1014
Practice Address - Country:US
Practice Address - Phone:734-712-8350
Practice Address - Fax:734-712-8351
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2021-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMT204896207R00000X
MI43015018262085R0204X
IL1250643252085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology