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Individual

STEVEN A ZIMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
11725 STINSON AVE, CHISAGO CITY, MN 55013-9542
(651) 257-8421
(651) 257-8464
Mailing address
11725 STINSON AVE, CHISAGO CITY, MN 55013-9542
(651) 257-8421
(651) 257-8464

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1672
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
424323400
MN
Enumeration date
09/13/2005
Last updated
11/14/2013
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