Provider Demographics
NPI:1831318765
Name:GLIEDERER, FRANZ (MD, MPH)
Entity Type:Individual
Prefix:MR
First Name:FRANZ
Middle Name:
Last Name:GLIEDERER
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 OLIVE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-4137
Mailing Address - Country:US
Mailing Address - Phone:661-215-7500
Mailing Address - Fax:661-393-6410
Practice Address - Street 1:901 OLIVE DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-4137
Practice Address - Country:US
Practice Address - Phone:661-215-7500
Practice Address - Fax:661-393-6410
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 517952083P0500X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0083053Medicaid
CAA51795Medicare UPIN
CAZZZ16137ZMedicare ID - Type Unspecified