Individual
ANDREW JOSEPH ZIMOLZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1402 S GRAND BLVD, 12TH FLOOR N DESLOGE TOWERS, SAINT LOUIS, MO 63104-1004
(314) 577-8000
Mailing address
1402 S GRAND BLVD, 12TH FLOOR N DESLOGE TOWERS, SAINT LOUIS, MO 63104-1004
(314) 577-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2010020878
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007018524
MO STATE LICENSE
MO
05
—
622961209
—
MO
Enumeration date
06/27/2007
Last updated
08/13/2010
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