Individual
KRISTEN BODINE-ZELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5700 MONROE ST UNIT 203, SYLVANIA, OH 43560-2735
(419) 843-8100
(419) 841-4681
Mailing address
5700 MONROE ST UNIT 203, SYLVANIA, OH 43560-2735
(419) 843-8100
(419) 841-4681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35072934
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141204
ANTHEM
OH
01
—
01-05187
UHC
OH
01
—
03670
PARAMOUNT
OH
01
—
080161417
RRMC
OH
05
—
2176729
—
OH
01
—
2467797
AETNA
OH
Enumeration date
07/21/2005
Last updated
11/03/2023
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