Individual
MICHAEL J. ZIRILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
292 TOWNSHIP ROAD 1525, PROCTORVILLE, OH 45669
(740) 441-0504
(000) 000-0000
Mailing address
292 TOWNSHIP ROAD 1525, PROCTORVILLE, OH 45669
(740) 441-0504
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-00-4148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006675
ANTHEM BCBS
—
01
—
000000185205
UNISON MEDICAID
OH
01
—
001714060
MOUNTAIN STATE BCBS
—
01
—
0706427
MOLINA MEDICAID
OH
01
—
310917085128
CARESOURCE MEDICAID
OH
01
—
C30674
RR MEDICARE
—
Enumeration date
06/23/2006
Last updated
09/29/2019
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