Individual
DR. EDWARD D ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
316 N 10TH ST, WORLAND, WY 82401-2307
(307) 347-8885
(307) 347-2428
Mailing address
316 N 10TH ST, WORLAND, WY 82401-2307
(307) 347-8885
(307) 347-2428
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8034A
WY
207Q00000X
Family Medicine Physician
8034A
WY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
8034A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100377060B
—
KS
Enumeration date
06/01/2005
Last updated
07/13/2023
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