Steven Siebert, CO
in Baltimore, MD. Individual provider (NPI-1).
NPI number1669996153
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1669996153
- Entity type
- Individual (NPI-1)
- Name
- Steven Siebert
- Credential
- CO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Z00000X | – | – | Yes |
Practice location
10 N Greene StBaltimore, MD 21201-1524
Phone 410-605-7000
Mailing address
5824 Humblebee RdColumbia, MD 21045-3505
Phone 256-374-3254
Other practice locations
5824 Humblebee Rd
Columbia, MD 21045
Columbia, MD 21045
Phone 256-374-3254
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