Wieckowska, Zuzanna M.
Wieckowska, Zuzanna M. is an individual health care provider with primary practice located at 1515 Village Dr , Cottage Grove OR 97424-9700. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Wieckowska, Zuzanna M. can be contacted via phone (541) 942-6610.Contact Information
Primary practice address
1515 Village Dr
Cottage Grove OR 97424-9700
Phone: (541) 942-6610
Fax: (541) 942-0353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD26876 | Oregon |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | MD26876 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD26876 | Oregon |
Profile Details
| NPI number | 1902823743 |
|---|---|
| LBN Legal business name | Wieckowska, Zuzanna M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Nov 20th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902823743 | NPPES |
| Oregon | MEDICAID | 286348 |
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