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Individual

KARISSA G ZIMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2315 W. 57TH STREET, SUITE 300, SIOUX FALLS, SD 57108
(615) 271-5441
(605) 271-5277
Mailing address
2315 W. 57TH STREET, SUITE 300, SIOUX FALLS, SD 57108
(615) 271-5441
(605) 271-5277

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0876
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033551114
SD
Enumeration date
07/18/2013
Last updated
02/22/2018
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