NPI 1003847179

Glenn J. Kietzer, MD

Practitioner General Practice Physician Tacoma, WA

Practice location

Address: 15005 Pacific Ave Spanaway General Medical, Tacoma, WA 98444
Phone: (253) 537-3724
Fax: (253) 537-6425

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence MD00009584 (WA)

Other General Practice providers in Washington →

Registry record

NPI: 1003847179
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2006
Record last updated: 7 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.