Individual
DR. GLENN E ZIEMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36995 WALLACE CREEK RD, SPRINGFIELD, OR 97478-8542
(541) 687-1066
Mailing address
36995 WALLACE CREEK RD, SPRINGFIELD, OR 97478-8542
(541) 687-1066
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD25076
OR
207Q00000X
Family Medicine Physician
MD25076
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287893
—
OR
Enumeration date
03/08/2006
Last updated
07/09/2010
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