Contract Details
Facility name
Seidel Plastic Surgery
Provider ID
P000007412
NPI
1891724647
Tax ID
631172413
Effective Date
6/1/1999
Last Updated
8/29/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
1919 Dahlke Drive
Cullman, AL 35058
United States
County
Cullman
Phone
2567399993 (Phone)
Billing Details
Address
1919 Dahlke Drive
Cullman, AL 35058
Billing Phone
2567399993
Specialty Type
General Practice
Map
Address