Individual
MR. PETER CARL ZIMMERMAN
Active
Individual
MR. PETER CARL ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M3855
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006162
REGENCE BLUE SHIELD
ID
01
—
09761
BLUE CROSS
ID
Enumeration date
01/17/2007
Last updated
11/19/2007
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