Individual
DR. MATTHEW JACOB ZIMMIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 VISTA AVENUE, SAINT LOUIS, MO 63110-2540
(248) 990-4287
Mailing address
3600 VISTA AVENUE, SAINT LOUIS, MO 63110-2540
(248) 990-4287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301078497
MI
Other
Enumeration date
01/23/2006
Last updated
01/28/2021
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