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NPI Code Detail

MEDICARE: SEAN MITCHELL ZIEMBA

MEDICARE:   SEAN MITCHELL ZIEMBA
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
1111NS0005XSports Physician ChiropractorCHR.0008080CO

General Provider Information

NPI Number : 1528619186
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN MITCHELL ZIEMBA
Provider Business Mailing Address
First Line : 3801 OSAGE ST
Second Line :
City : DENVER
State : CO
Zip : 80211-2656
Country : US
Telephone Number : 219-730-4772
Fax Number :
Provider Business Practice Location Address
First Line : 3801 OSAGE ST
Second Line :
City : DENVER
State : CO
Zip : 80211-2656
Country : US
Telephone Number : 303-955-5994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2019
Last Update Date : 09/25/2019

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Directions to “ SEAN MITCHELL ZIEMBA ” Practice Location

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