# JOHN D. ZINKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447233572
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G35716 | CA | Yes |

## Other

- **Enumeration date:** 11/22/2005
- **Last updated:** 11/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00G357160 | BLUE SHIELD OF CALIFORNIA | CA |
| 01 | — | 7675408 | AETNA | — |
