Individual
MARY JO ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3003 W GOOD HOPE ROAD, MILWAUKEE, WI 53209
(414) 352-3100
(414) 247-4597
Mailing address
3003 W GOOD HOPE ROAD, MILWAUKEE, WI 53209
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26083
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30588600
—
WI
Enumeration date
07/07/2006
Last updated
11/29/2021
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