Individual
JULIE G ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
576 APOLLO DR, MAIL STOP 39603A, LINO LAKES, MN 55014-3004
(651) 784-1611
(651) 784-6093
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 767-1900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36447
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911027500
—
MN
Enumeration date
02/17/2006
Last updated
10/21/2019
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