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Individual

DR. CHARLES J ZIMMERMANN

Active
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Individual

DR. CHARLES J ZIMMERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00206
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000041863
ANTHEM BCBS
KY
01
—
480031505
RAILROAD MEDICARE
KY
05
—
80002066
—
KY
Enumeration date
08/04/2006
Last updated
09/04/2013
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