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NPI Code Detail

MEDICARE: JASON ZIEGLER MD

MEDICARE:   JASON  ZIEGLER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician64296CT

General Provider Information

NPI Number : 1326497876
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON ZIEGLER MD
Provider Business Mailing Address
First Line : 1221 E STATE ST
Second Line :
City : ROCKFORD
State : IL
Zip : 61104-2231
Country : US
Telephone Number : 815-972-1000
Fax Number :
Provider Business Practice Location Address
First Line : 250 FLAT ROCK PL
Second Line :
City : WESTBROOK
State : CT
Zip : 06498-3585
Country : US
Telephone Number : 860-358-3640
Fax Number : 860-358-8656
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2016
Last Update Date : 01/31/2020

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Directions to “ JASON ZIEGLER MD” Practice Location

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