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1881686145

NPI Code Detail

MEDICARE: DONALD W ZEILENGA MD

MEDICARE: DONALD W ZEILENGA 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
1	207R00000X	Internal Medicine Physician	MD00015270	WA
2	207RC0000X	Cardiovascular Disease Physician	MD00015270	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	60027589	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8926646	OTHER	WA	CRIME VICTIMS
4	140111	OTHER	WA	LABOR & IND.
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881686145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD W ZEILENGA MD

Provider Business Mailing Address
First Line	:	PO BOX 3002
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-0302
Country	:	US
Telephone Number	:	360-501-3601
Fax Number	:	360-501-3648

Provider Business Practice Location Address
First Line	:	1615 DELAWARE ST
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-2367
Country	:	US
Telephone Number	:	360-501-3601
Fax Number	:	360-501-3648

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	04/07/2015

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1164420261 — SUSAN LAURIE MORRISON M.D.
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1992706436 — PATRICIA J. PETERSON MD
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Directions to “ DONALD W ZEILENGA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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