Healthcare Provider Details

I. General information

NPI: 1649250770
Provider Name (Legal Business Name): STEVEN R ZIEBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: STEVEN R ZIEBER MD

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 01/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W MAIN ST
BELLEVUE OH
44811-9088
US

IV. Provider business mailing address

1400 W MAIN ST
BELLEVUE OH
44811-9088
US

V. Phone/Fax

Practice location:
  • Phone: 419-483-4040
  • Fax:
Mailing address:
  • Phone: 419-483-4040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35. 089784
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: