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Individual
MR. THOMAS ZMIERSKI
Active
Individual
MR. THOMAS ZMIERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002359A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000178880
BLUE CROSS, BLUE SHIELD
IN
01
—
650020306
RR MEDICARE
IN
Enumeration date
03/08/2007
Last updated
04/20/2020
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