Provider Demographics
NPI:1548609829
Name:ZIEGLER, SEAN DUSTIN (MD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:DUSTIN
Last Name:ZIEGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 S MONROE ST # 202
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-3838
Mailing Address - Country:US
Mailing Address - Phone:509-816-4000
Mailing Address - Fax:509-816-7001
Practice Address - Street 1:1004 S MONROE ST # 202
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-3838
Practice Address - Country:US
Practice Address - Phone:509-816-4000
Practice Address - Fax:509-816-7001
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1377452084P0800X
WAMD610031222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA137745OtherSTATE MEDICAL LICENSE
WAMD61003122OtherSTATE MEDICAL LICENSE
IDMC-2293OtherSTATE MEDICAL LICENSE
FLME108693OtherSTATE MEDICAL LICENSE