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Individual
DR. JOHN EASTER WIMMER
Active
Individual
DR. JOHN EASTER WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25465
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25465
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5150034
AETNA
NC
01
—
88511
BCBS NC
NC
05
—
8988511
—
NC
01
—
C5375
MEDCOST
NC
Enumeration date
06/15/2006
Last updated
12/14/2011
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