SCOTT W. ZIMOSTRAD, PH.D., P.C.
Social Work at Wackerly St, Midland, MI

License number
Michigan SZ630100
Category
Social Work
Type
Clinical Neuropsychologist
Owner
Name: SCOTT W ZIMOSTRAD PH.D.
Title: OWNER/ADMINISTRATOR
Phone: (989) 839-6565
Address
Address
720 W Wackerly St SUITE 12, Midland, MI 48640
National Provider ID: 1578738514
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SCOTT W. ZIMOSTRAD, PH.D., PC

Midland, MI

Registration:
Jan 11, 1994
Addresses:
720 W Wackerly Rd STE 12, Midland, MI 48640 (Physical)
Michigan (Mailing)
State ID:
066362
Business type:
Domestic Professional Service Corporation
Agent:
Scott W. Zimostrad

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