Individual
SCOTT DONALD ZGRABIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 FULTON ST, PORT CLINTON, OH 43452-2001
(419) 734-3131
(419) 732-4007
Mailing address
615 FULTON ST, PORT CLINTON, OH 43452-2001
(419) 734-3131
(419) 732-4007
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-056262
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0809334
—
OH
01
—
29680
ANTHEM BCBS OF OHIO
OH
01
—
344441792057
MEDICAL MUTUAL OF OHIO
OH
Enumeration date
09/03/2006
Last updated
07/08/2007
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