Individual
MR. ZACHARY MICHAEL GIBBEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
239 GRANDVIEW AVE APT 201, BELLEVUE, KY 41073-1573
(513) 405-1386
Mailing address
239 GRANDVIEW AVE APT 201, BELLEVUE, KY 41073-1573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006796
OH
Other
Enumeration date
12/31/2020
Last updated
03/31/2021
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