DR. Glenn J. Kietzer, MD

NPI #1003847179 in Tacoma, Washington

Provider Information

NPI Number: 1003847179
Entity Type: Individual
Name: DR. Glenn J. Kietzer, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Jul 6, 2006
Last Updated: May 7, 2014

Practice Location

Address: 15005 PACIFIC AVE
Address 2: SPANAWAY GENERAL MEDICAL
City: Tacoma
State: Washington
ZIP Code: 98444
Phone: (253) 537-3724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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