Provider Demographics
NPI:1285182840
Name:ZIEGER ORTHOPAEDICS PLLC
Entity Type:Organization
Organization Name:ZIEGER ORTHOPAEDICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIEGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-987-9871
Mailing Address - Street 1:2014 HOLLAND AVE
Mailing Address - Street 2:PMB 679
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-1406
Mailing Address - Country:US
Mailing Address - Phone:810-987-9871
Mailing Address - Fax:810-987-6070
Practice Address - Street 1:600 FORT ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-3941
Practice Address - Country:US
Practice Address - Phone:810-987-9871
Practice Address - Fax:810-987-6070
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZIEGER ORTHOPAEDICS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301072047332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies