Healthcare Provider Details

I. General information

NPI: 1285182840
Provider Name (Legal Business Name): ZIEGER ORTHOPAEDICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2016
Last Update Date: 09/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 FORT ST SUITE 100
PORT HURON MI
48060-3941
US

IV. Provider business mailing address

2014 HOLLAND AVE PMB 679
PORT HURON MI
48060-1406
US

V. Phone/Fax

Practice location:
  • Phone: 810-987-9871
  • Fax: 810-987-6070
Mailing address:
  • Phone: 810-987-9871
  • Fax: 810-987-6070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number4301072047
License Number StateMI

VIII. Authorized Official

Name: CORY ZIEGER
Title or Position: OWNER PROVIDER
Credential: MD
Phone: 810-987-9871