Individual
DR. THOMAS GERARD ZACIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 ST LAWRENCE DR, SUITE 204, TIFFIN, OH 44883-8312
(419) 455-8570
(419) 455-8579
Mailing address
27 ST LAWRENCE DR, SUITE 204, TIFFIN, OH 44883-8312
(419) 455-8570
(419) 455-8579
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35.121250
OH
208800000X
Urology Physician
Primary
57.013762
OH
Other
Enumeration date
07/30/2008
Last updated
07/24/2013
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