Individual
GARY R ZIEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
419 S CORAL ST, KALKASKA, MI 49646-2500
(231) 258-7777
Mailing address
419 S CORAL ST, KALKASKA, MI 49646-2500
(231) 258-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301060775
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2899196
—
MI
Enumeration date
06/25/2006
Last updated
11/20/2007
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