Basic Information
| Provider Information | |||||||||
| NPI: | 1255333670 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SEITZ | ||||||||
| FirstName: | ROY | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5373 E LAKE RD | ||||||||
| Address2: | |||||||||
| City: | SHEFFIELD LAKE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440541822 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4409497125 | ||||||||
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| Practice Location | |||||||||
| Address1: | 29000 CENTER RIDGE RD | ||||||||
| Address2: | ST JOHN MEDICAL CENTER | ||||||||
| City: | WESTLAKE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441455293 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4408358000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2005 | ||||||||
| LastUpdateDate: | 11/03/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 35-04-4604-S | OH | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.