Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Tobin Siegel, MD

Individual provider Dermatology Physician · NPI 1104915875

Michael Tobin Siegel, MD is a Dermatology in Waterford, Michigan. Graduated from University of Michigan Medical School in 1984, 42 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
42
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1095 W Huron St
Waterford, MI 48328-3735
Phone: (248) 682-9611
Fax: (248) 682-6051
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MS407369 (MI)

Record details

NPI number1104915875
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 12, 2006
Last updated in NPPESAugust 24, 2010
Mailing address1095 W Huron St, Waterford, MI 48328-3735

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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