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NPI Code Detail

MEDICARE: HANNAH ZIEGLER PA-C

MEDICARE:   HANNAH  ZIEGLER  PA-C
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
1363A00000XPhysician Assistant085005950IL

General Provider Information

NPI Number : 1245787472
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ZIEGLER PA-C
Provider Business Mailing Address
First Line : 2559 MEADOR RD
Second Line :
City : GREENBRIER
State : TN
Zip : 37073-4916
Country : US
Telephone Number : 615-585-6637
Fax Number :
Provider Business Practice Location Address
First Line : 2100 MADISON AVE
Second Line :
City : GRANITE CITY
State : IL
Zip : 62040-4713
Country : US
Telephone Number : 618-798-3260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2016
Last Update Date : 09/06/2016

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Directions to “ HANNAH ZIEGLER PA-C” Practice Location

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