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Individual

ANNA M ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1739 N 4TH ST, TERRE HAUTE, IN 47804-4002
(812) 242-3600
(812) 242-3620
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3600
(812) 242-3620

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032391A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000089627
ANTHEM
01
080051424
RAILROAD MCARE PALAMETTO
05
100243800
IN
01
P00834685
RAILROAD MEDICARE
IN
Enumeration date
08/30/2006
Last updated
08/18/2010
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