Individual
MICAH D ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2200 CEDAR CREST DR STE B, RICE LAKE, WI 54868-5500
(608) 346-6793
Mailing address
1812 20TH AVE, RICE LAKE, WI 54868-8523
(608) 346-6793
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
179953-030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
6198
WI
Other
Enumeration date
07/30/2014
Last updated
01/15/2025
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