Individual
DR. JACK H ZIEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 S LAKE PARK AVE, SUITE 1400, HOBART, IN 46342-6636
(219) 942-6166
(219) 942-4106
Mailing address
1400 S LAKE PARK AVE, SUITE 1400, HOBART, IN 46342-6636
(219) 942-6166
(219) 942-4106
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01031712A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100386290A
—
IN
Enumeration date
07/28/2005
Last updated
09/24/2012
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