Healthcare Provider Details

I. General information

NPI: 1992994586
Provider Name (Legal Business Name): DORIS ZIEMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2007
Last Update Date: 10/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2761 GEARY BLVD
SAN FRANCISCO CA
94118-3405
US

IV. Provider business mailing address

2761 GEARY BLVD
SAN FRANCISCO CA
94118-3405
US

V. Phone/Fax

Practice location:
  • Phone: 415-387-8500
  • Fax:
Mailing address:
  • Phone: 415-387-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: