Individual
GREGORY J ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 325-5244
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
105193
MN
207Q00000X
Family Medicine Physician
Primary
66873
WI
207Q00000X
Family Medicine Physician
MT192598
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100068683
—
WI
Enumeration date
12/29/2008
Last updated
12/02/2024
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