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Individual
MR. MICHAEL TAYLOR ZIMMERMAN I
Active
Individual
MR. MICHAEL TAYLOR ZIMMERMAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP BOCOP
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OH000039
PA
224P00000X
Prosthetist
Primary
PO000019
PA
Other
Enumeration date
06/03/2018
Last updated
06/03/2018
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