Provider Demographics
NPI:1558447094
Name:ZELLERS, GORDON L (MD)
Entity Type:Individual
Prefix:
First Name:GORDON
Middle Name:L
Last Name:ZELLERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 N CLEVELAND MASSILLON RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-1817
Mailing Address - Country:US
Mailing Address - Phone:800-297-2299
Mailing Address - Fax:330-666-4178
Practice Address - Street 1:1930 N CLEVELAND MASSILLON RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-1817
Practice Address - Country:US
Practice Address - Phone:800-297-2299
Practice Address - Fax:330-666-4178
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.052558207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine