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Individual

DEBRA ANN ZILLMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 FIRST STREET, SW, ROCHESTER, MN 55905
(507) 284-2947
(507) 266-4234
Mailing address
200 FIRST STREET, SW, ROCHESTER, MN 55905
(507) 284-2947
(507) 266-4234

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036104352
IL
207X00000X
Orthopaedic Surgery Physician
Primary
34112
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036104352
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036104352
IL
01
200042818
RAILROAD MEDICARE
IL
05
ENROLLED
MN
01
P00948581
RAILROAD MEDICARE
MN
Enumeration date
09/27/2005
Last updated
09/12/2011
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