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:
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Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902823743 NPPES
Oregon MEDICAID 286348

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