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Individual

BETH ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1101 3RD AVE NW, BEULAH, ND 58523-6215
(701) 873-4242
Mailing address
100 13TH CIRCLE DR, BEULAH, ND 58523-6317
(701) 873-2952

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
R18074
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11992
ND
Enumeration date
02/15/2006
Last updated
10/26/2016
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