Individual
DR. PAUL R ZELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
36100 EUCLID AVE STE 120, WILLOUGHBY, OH 44094-4426
(440) 951-8360
(440) 951-9408
Mailing address
36000 EUCLID AVE # MSO, WILLOUGHBY, OH 44094-4625
(440) 953-6082
(440) 953-6101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02004603A
IN
207R00000X
Internal Medicine Physician
03482
KY
207RC0000X
Cardiovascular Disease Physician
Primary
34.010461
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161899
—
OH
01
—
H467000
MEDICARE
OH
Enumeration date
05/16/2009
Last updated
03/03/2021
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