Individual
DR. ZUZANNA M. WIECKOWSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
(541) 942-6610
(541) 942-0353
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26876
OR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD26876
OR
207R00000X
Internal Medicine Physician
MD26876
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286348
—
OR
Enumeration date
07/17/2006
Last updated
11/20/2009
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