Provider Demographics
NPI:1053314948
Name:SEAMAN, DAVID HOWARD (MD PC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HOWARD
Last Name:SEAMAN
Suffix:
Gender:M
Credentials:MD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 S CANTON CENTER RD
Mailing Address - Street 2:STE 360
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-0004
Mailing Address - Country:US
Mailing Address - Phone:734-394-2661
Mailing Address - Fax:734-394-2666
Practice Address - Street 1:1600 S CANTON CENTER RD
Practice Address - Street 2:STE 360
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-0004
Practice Address - Country:US
Practice Address - Phone:734-394-2661
Practice Address - Fax:734-394-2666
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDS035548174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1664480Medicaid
MIDS035548OtherSTATE LICENSE #
MIDS035548OtherSTATE LICENSE #
MIOM61900Medicare UPIN