Provider Demographics
NPI:1932428331
Name:SEIB, MICHAEL BERNARD II (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BERNARD
Last Name:SEIB
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2239 WALKER AVE BLDG 5570
Mailing Address - Street 2:
Mailing Address - City:JBSA LACKLAND
Mailing Address - State:TX
Mailing Address - Zip Code:78236-5632
Mailing Address - Country:US
Mailing Address - Phone:201-671-4157
Mailing Address - Fax:
Practice Address - Street 1:1100 WILFORD HALL LOOP
Practice Address - Street 2:
Practice Address - City:JBSA LACKLAND
Practice Address - State:TX
Practice Address - Zip Code:78236-5638
Practice Address - Country:US
Practice Address - Phone:210-292-4277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ3794207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine