Male or Other

Ronald J. Siegle MD

Dermatology Physician in Westerville, OH(View on Map)

Full Name

Ronald J. Siegle MD

NPI Number

1780669044

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/09/2005

Specialties

(Taxonomies)

Code

207N00000X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

35050851

Contact
Information

Purpose

Mailing
Location

Address

428 COUNTY LINE ROAD
428 COUNTY LINE ROAD

City

Westerville
Westerville

State

OH
OH

Postal Code

43082-7027
43082-7027

Country

US
US

Telephone Number

(614) 847-4100
(614) 847-4100

Identifiers

Identifier

0558632
P00086799
000000309765

Identifier State

OH
OH
OH

Identifier Issuer

Unknown
RR MEDICARE
ANTHEM BLUE CROSS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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