Individual
DR. MARK C ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10101 S 27TH ST, FRANKLIN, WI 53132-7209
(414) 817-5800
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1010
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28928
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31610300
—
WI
Enumeration date
03/27/2006
Last updated
11/09/2011
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