Provider Demographics
NPI:1598902462
Name:ZIEGLER, ROSS E (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:E
Last Name:ZIEGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 THAIN WAY
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-3920
Mailing Address - Country:US
Mailing Address - Phone:650-494-7090
Mailing Address - Fax:650-494-7060
Practice Address - Street 1:544 THAIN WAY
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-3920
Practice Address - Country:US
Practice Address - Phone:650-494-7090
Practice Address - Fax:650-494-7060
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG40394207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine