Individual
CHARLES J. ZELLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1045 CHANNINGWAY DR., FAIRBORN, OH 45324-9244
(937) 878-8644
(937) 878-8646
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 384-4838
(937) 384-4845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.002882
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0627147
—
OH
Enumeration date
06/13/2006
Last updated
04/03/2012
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