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Individual
STEPHEN H ZIMMERMAN
Active
Individual
STEPHEN H ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
120
AR
213E00000X
Podiatrist
365
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118596717
—
AR
01
—
480010758
MEDICARE ID TYPE UNSPECIFIED
TN
01
—
480027256
MEDICARE ID TYPE UNSPECIFIED
AR
Enumeration date
01/27/2006
Last updated
01/26/2016
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