Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN J. KIETZER, MD
ActiveDR. GLENN J. KIETZER, MD is a General Practice healthcare provider located in TACOMA, Washington. NPI 1003847179 is currently active in the NPPES registry. Verify at CMS.
General Practice · TACOMA, WA
Registration Details
- NPI Number
- 1003847179
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (20.068519686978 yrs)
- Last Updated
- May 7, 2014
- License
-
MD00009584 (WA)
Practice Information
- Address
-
15005 PACIFIC AVESPANAWAY GENERAL MEDICALTACOMA, WA, 98444Browse WA providers · Browse ZIP 98444
- Phone
- 2535373724
- Fax
- 2535376425
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in TACOMA, WA
| Name | Credential | NPI |
|---|---|---|
| SHANNON URSULA WATERMAN | MD | 1649279860 |
| THU VAN LE | MD | 1295716884 |
| DESISLAVA ZLATANOVA HITE | M.D. | 1003888256 |
| DR. GREGORY MICHAEL JOHNSTON | M.D. | 1043282023 |
| JANE ANN MOORE | MD | 1710936208 |
| DR. LOUIS CORNELIUS ENKEMA JR. | MD | 1447281613 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.