Organization
SCOTT W. ZIMOSTRAD, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT W ZIMOSTRAD PH.D. (OWNER/ADMINISTRATOR)
(989) 839-6565
Entity
Organization
Contact information
Practice address
720 W WACKERLY ST, SUITE 12, MIDLAND, MI 48640-2769
(989) 839-6565
(989) 839-5794
Mailing address
720 W WACKERLY ST, SUITE 12, MIDLAND, MI 48640-2769
(989) 839-6565
(989) 839-5794
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
SZ630100
MI
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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