Individual
TODD W. ZIMMERMAN
Active
Individual
TODD W. ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G56482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G56482
CA MEDICAL LICENSE
CA
01
—
ZZZ13841Z
MEDICARE ID - ROSEVILLE
CA
01
—
ZZZ13842Z
MEDICARE ID - CARMICHAEL
CA
01
—
ZZZ29516Z
MEDICARE ID - LINCOLN
CA
01
—
ZZZ43589Z
MEDICARE SUBMITTER ID
CA
Enumeration date
02/08/2007
Last updated
08/29/2012
Update your record
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