Provider Demographics
NPI:1407861891
Name:ZELWIN, HARRY (DPM)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:
Last Name:ZELWIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SEVERANCE CIRCLE
Mailing Address - Street 2:# 804
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118
Mailing Address - Country:US
Mailing Address - Phone:216-382-6501
Mailing Address - Fax:216-382-6502
Practice Address - Street 1:5 SEVERANCE CIRCLE
Practice Address - Street 2:# 804
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44118
Practice Address - Country:US
Practice Address - Phone:216-382-6501
Practice Address - Fax:216-382-6502
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36001649213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0249065Medicaid
T80399Medicare UPIN
OHZE0399445Medicare ID - Type Unspecified