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Contact Information

ZUZANNA M WIECKOWSKA, MD
1515 VILLAGE DR
COTTAGE GROVE, OR97424-9700
 Phone: 541-942-6610
 Fax: 541-942-0353
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ZUZANNA M WIECKOWSKA · (Female)

NPI Number 1902823743
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2006
Last updated 11/20/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD26876
  • OR Medicaid 286348
Hospital affiliation(s)
  • COTTAGE GROVE COMMUNITY HOSPITAL - (Critical Access)
    1515 VILLAGE DRIVE
    COTTAGE GROVE, OR 97424
  • SACRED HEART MEDICAL CENTER - RIVERBEND - (Acute Care)
    3333 RIVERBEND DRIVE
    SPRINGFIELD, OR 97477
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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