Individual
DR. MARY ELIZABETH CIEZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1633 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5700
(719) 475-9800
(719) 473-5436
Mailing address
2 S CASCADE AVE, 140, COLORADO SPRINGS, CO 80903-1624
(719) 538-2950
(719) 538-2996
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40061
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61522848
—
CO
Enumeration date
01/31/2006
Last updated
08/06/2012
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