Individual
DR. SCOTT WILLIAM ZIMOSTRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
728 W WACKERLY ST, SUITE 1, MIDLAND, MI 48640-4703
(989) 839-6565
(989) 839-5794
Mailing address
728 W WACKERLY ST, SUITE 1, MIDLAND, MI 48640-4703
(989) 839-6565
(989) 839-5794
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301004028
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E64565
BCBS OF MICHIGAN
MI
Enumeration date
05/31/2006
Last updated
07/08/2007
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