Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glenn J. Kietzer, MD

Individual provider General Practice Physician · NPI 1003847179

Dr. Glenn J. Kietzer, MD is a General Practice Physician in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15005 Pacific Ave Spanaway General Medical
Tacoma, WA 98444
Phone: (253) 537-3724
Fax: (253) 537-6425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence MD00009584 (WA)

Record details

NPI number1003847179
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESMay 7, 2014

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