Provider Demographics
NPI:1366440869
Name:ZIEGLER, JOHN MICHAEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MICHAEL
Last Name:ZIEGLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:793 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2561
Mailing Address - Country:US
Mailing Address - Phone:814-724-6060
Mailing Address - Fax:814-337-0082
Practice Address - Street 1:793 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-2561
Practice Address - Country:US
Practice Address - Phone:814-724-6060
Practice Address - Fax:814-337-0082
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002796L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT30239Medicare UPIN
PA5301440001Medicare NSC