Healthcare Provider Details

I. General information

NPI: 1306764949
Provider Name (Legal Business Name): JOE MICHAEL ZIEGLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 6TH ST SW
CANTON OH
44710-1702
US

IV. Provider business mailing address

11515 DUNHAM RD
NORTHFIELD OH
44067-1007
US

V. Phone/Fax

Practice location:
  • Phone: 330-363-6203
  • Fax:
Mailing address:
  • Phone: 330-748-4943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: